NCLEX Practice Test 2

1. A patient is receiving 1,000 ml of 5% glucose and 0.45% normal saline with 40 mEq of potassium chloride. most important for nurse to monitor the patient :

A. pulse rate
B. daily weight
C. skin turgor

Answer1:

I would say, always check for urine output before commencing anything with Potassium because it can only be excreted in the urine. Hence if you are dehydrated & have decrease urine output & commenced on K+ hyperkalemia will arise leading to cardiac arrythmia.

1)a young patient most likely to get lead poisining if?

a. he is drinking from a ceramic pitcher.
b. father refurnishes old furniture at their home

2) a TB pt understands that he can reduce the risk of spreading his disease if he states?

a. i wont sleep in same room w/ my wife for 1-2 months
b. i will stay away from pregnant women and children
c. i will use plastic utensil when i eat

3) 4 years old with salmonella what u should do?

a. private room
b. isolation
c. place in a room with 4 year old with cellulitis
d. keep door closed at all times.

4) wat herb would help with vomiting?

a. ginkgo
b. ginseng.
c. ginger root
d. echinacea

5) allergic to sulfa wat not to take?

a. ma huang
b. echinacea.


6) mother called a nurse from home stating that her child having chicken pox, which of the following statements by the mother needs immediate follow up?

a. father of the child with liver failure
b. sibling with anemia
c. child just had tonsillectomy
d. child has intermittent low grade fever

7) client with allergy to sudafed ..which of the statments is correct?

a. i will take valerian
b. i will take ma huang
c. i will take echinacea for acute viral inf.
d. i will take black cohosh

8) food processing

a. frozen food can be defrost for up to six hours
b. frozen food which has been defrost can be return back to fridge.
c. cook perishable food should cover and cool
d. frozen food should be defrost by hot water

9) child in a mist tent and the parents brought him a car toy...the child was clutching the toy and the nurse refused to let him play for wat reason?

a. it will get contaminated with bacteria
b. it will accumalate moisture
c. it could cause a fire

11) a mother reported that her son is throwing up each time she feeds him wat would be the best question u ask?

a. did u warm up the formula
b. wot kind of formula did u give him
c. does ur son feel hungry each time he throws up
d. does ur son have a jelly like stool

12) a patient had aids the nurse should advise?

a. cook ur meat very well
b. not to eat in the same table with family
c. avoid crowds


Answer:

1)a young patient most likely to get lead poisining if?

a. he is drinking from a ceramic pitcher.
b. father refurbishes old furniture at their home


> ANSWER is B. probably if he refurbishes an old furniture at home.. that is, if the furniture has old paint on it and during 60's paints have lead content on it (heavy metals) and if you need to remove that, chips from the old paint may be taken by a kid that leads to Pb poisoning

2) a TB pt understands that he can reduce the risk of spreading his disease if he states?

a. i wont sleep in same room w/ my wife for 1-2 months
b. i will stay away from pregnant women and children
c. i will use plastic utensil when i eat

****>> if the patient is already taking anti-TB drugs, it will only be 2 weeks of chemotherapy and that (+) PTB will no longer be communicable.. and 1-2 months is long!
CHildren are more susceptible to acquire Primary complex and pregnant women are susceptible and almost vulnerable to all type of illnesses.. There is no need for the patient to separate their utensils since PTB is airborne and not by contact in terms of transmission.. so i go for B answer.

3) 4 years old with salmonella what u should do?

a. private room
b. isolation
c. place in a room with 4 year old with cellulitis
d. keep door closed at all times.

*** the (+) salmonella kid may be placed in a private room. Salmonella is transmitted by Enteric.. therefore Enteric precaution is needed and handwashing is very important and gown and gloves, diaper or bedpan in necessary. Option B, and D are all for pulmonary tuberculosis precautions. I suppose, the answer is A. place in a private room.

4) wat herb would help with vomiting?

a. ginko
b. ginsing.
c. ginger root
d. echinacea

****> ginger root is good for nausea.. most especially in morning sickness but in moderation for pregnant women... Option C is the answer

5) allergic to sulfa wat not to take?

a. ma huang
b. echinacea.


...I think the answer is... geez, i forgot..i think its Echinacea..let me check again ok..

6) mother called a nurse from home stating that her child having chicken pox..which of the following statements by the mother needs immediate follow up?

a. father of the child with liver failure
b. sibling with anemia
c. child just had tonsillectomy
d. child has intermittent low grade fever

I think the answer is C. the child that just had tonsillectomy. i think the child is immunocompromised. and varicella (Chicken pox) is a viral one.. we all know that tonsils are one of the lymph defenses we have against any infection.. Im not really sure with this answer.

7) client with allergy to sudafed ..which of the statments is correct?

a. i will take valerian
b. i will take ma huang
c. i will take echinacea for acute viral inf.
d. i will take black cohosh

**valerian root is for cystitis and fungal infections; ma huang is for (I forgot!!),echinacea is for immune booster but not to be taken with patients with progressive systemic disorders such as AIDS, PTB, HIV, etc. black cohosh is for menopause.

*** don't you think that Echinacea is the correct option??



8)food processing

a. frozen food can be defrost for up to six hours
b. frozen food which has been defrost can be return back to fridge.
c. cook perishible food should cover and cool
d. frozen food should be defrost by hot water

usually, frozen food must be thawed at cool tap water for freshness. not in the microwave because it can be cooked outside and raw inside, not in the hotwater with same principle. so i believe, thawing it FOR UP TO 6 HOURS would be ok. returning thawed food back at fridge is ok but it is unsafe since salmonella can start thriving in.. Answer is OPTION A.

9) child in a mist tent and the parents brought him a car toy...the child was clutching the toy and the nurse refused to let him play for wot reason?

a. it will get contaminated with bacteria
b. it will accumalate moisture
c. it could cause a fire

** The answer is OPTION C. Usually car toy have friction on it for the wheels to run.. Oxygen supports combustion.. and if friction is present together with oxygen (in a mist tent) then, fire could commence.

11) a mother reported that her son is throwing up each time she feeds him wat would be the best question u ask?

a. did u warm up the formula
b. wot kind of formula did u give him
c. does ur son feel hungry each time he throws up
d. does r son have a jelly like stool

***>>> CORRECT OPTION is D.. Does your son have jelly like stool.. jelly like or currant like stool is a cardinal sign of Intussusception/ Telescoping or invagination of the large intestines in the Ileoceccal area..

12) a patient had AIDS the nurse should advise?

a. cook ur meat very well
b. not to eat in the same table with family
c. avoid crowds

***>> if you have AIDS, u are immunocompromised.. therefore you are prone to infection.. neutropenic precaution is advised and one that is a must is Avoiding Crowds.. Correct option is C.