nclex questions finals

8/8/2019 Nclex Questions Finals

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a. Secrete hydrogen ions andsodium.

b. Secrete ammonia.

c. Exchange hydrogen andsodium in the kidney tubules.

d. Decrease sodium ions, hold onto hydrogen ions, and then

secrete sodium bicarbonate


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d. Decrease sodium ions, hold onto hydrogen ions, and then

secrete sodium bicarbonate


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c. Lowering the blood sugar byfacilitating the uptake andutilization of glucose

d. Altering both fat and protein

metabolismb. Making the insulin that is

produced more available for use

a. Stimulating the pancreas toproduce or release insulin


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a. Stimulating the pancreas toproduce or release insulin


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a. Decrease anxiety and

restlessness

b. Prevents shock and relievespain

d. Helps prevent fibrillation of the

heart

c. Dilates coronary blood vessels


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b. Prevents shock and relievespain


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b. Increase cardiac outputd. Peripheral edema decreased

c. Improve respiratory status

a. Enhance comfort


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b. Increase cardiac output


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b. Monitoring blood pressure

every 4 hoursd. Obtaining infusion pump for

the medication

c. Obtaining serum potassiumlevels daily

a. Monitoring urine outputfrequently


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d. Obtaining infusion pump forthe medication


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d. Can participate in cardiacrehabilitation walking program

c. Can recognize the risk factorsof Myocardial Infarction

b. Severe chest pain

a. Able to perform self-careactivities without pain


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a. Able to perform self-careactivities without pain


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a. Application of pressure in the

brain

b. Use hand roll and extend theleft upper extremity on a pillowto prevent contractions

d. do passive motion of exercise

c. use of bed cradle to prevent

dorsiflexion of feet


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b. Use hand roll and extend theleft upper extremity on a pillowto prevent contractions


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b. Temperature d. Able to sips clear liquid

a. A hourly urine output c. Able to turn side to side


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a. A hourly urine output


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a. To determine the existence of

CHD

b To visualize the disease process

in the coronary arteries

d. To measure oxygen content of

different heart chambers

c. To obtain the heart rate

chambers pressure


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a. To determine the existence of

CHD


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a. Protamine Sulfate

b. Quinidine Sulfate d. Coumadin

c. Vitamin C


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a. Protamine Sulfate


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32/301

a. Dental floss

b. Electric toothbrush d. Irrigation device

c. Manual toothbrush


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b. Electric toothbrush


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b. exceptional dyspnea d. chest pain

c. rease creatine phospholinase

concentration

a. altered level of consciousness


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b. exceptional dyspnea


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b. Pain in the labiumd. Right or lest costovertebral

angle

c. Suprapubic areaa. Urinary meatus


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a. Urinary meatus


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a. Cause cardiac arrest

b. Cause hypotensiond. Be very toxic even in small

doses

c. Produce mild bradycardia


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a. Cause cardiac arrest


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a. On his right side to promotehemostasis

b. In Fowler's position to facilitate

ventilationd. In Sims' position to preventaspiration

c. Supine to maintain bloodpressure


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a. On his right side to promotehemostasis


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a. Hypercalcemia

b. Hyperproteinemiad. Free water depletion

c. Hypokalemia


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c. Hypokalemia


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c. Apricots

d. Bananasb. Oranges

a. Raisins


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c. Apricots


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c. 36%

d. 45%b. 27%

a. 18%


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b. 27%


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b. Discard the aspirate andwithhold the feeding

d. Replace the aspirate and

withhold the feeding

c. Discard the aspirate andbegin the feeding

a. Replace the aspirate andadminister the feeding


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a. Replace the aspirate andadminister the feeding


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a. Dilated

b.Hypertrophic d.Restrictive

c. Obliterative


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b.Hypertrophic


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b. Left side-lying position d. Semi-Fowlers position

c. High Fowlers positiona. Lying flat in bed.


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c. High Fowlers position


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c. More insulin

d. Oral diabetic agentsb. Less insulin

a. No changes.


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c. More insulin


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C. Arrange for a stat Chest x-rayfilm.

D. Clam the tube immediatelyB. Milk the tube toward the

collection container as ordered

A. Prepare for chest tube

removal


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B. Milk the tube toward the

collection container as ordered


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A. Increased breath sounds


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c. MI

d. Renal failureb. DM

a. Atherosclerosis


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a. Atherosclerosis


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a. Plaques obstruct the vein

d. Hardened vessels dilate to

allow the blood to flow throughb. Plaques obstruct the artery

c. Blood clots form outside the

vessel wall


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b. Plaques obstruct the artery


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b. DM d. HPN

c. Hereditya. Cigarette smoking


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c. Heredity


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c. 175 mg/dl

d. 200 mg/dlb. 150 mg/dl

a. 100 mg/dl


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d. 200 mg/dl


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d. Educate the client about his

symptoms

a. Decrease anxiety c. Administer sublingualnitroglycerin

b. Enhance myocardial

oxygenation


87/301

b. Enhance myocardial

oxygenation


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b. Coronary artery bypass

surgery

d. Percutaneous transluminal

coronary angioplasty

c. Oral medicationadministration

a. Cardiac catheterization


90/301

c. Oral medicationadministration


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92/301

c. Inferior

d. Lateralb. Apical

a. Anterior


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c. Inferior


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c. Edema

d. Palpitationsb. Dyspnea

a. Chest pain


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a. Chest pain


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a. Left intercostal space,midaxillary line

d. Left seventh intercostal space,

midclavicular line

c. Left second intercostal space,midclavicular line

b. Left fifth intercostal space,

midclavicular line


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b. Gastrointestinal d. Pulmonary

c. Musculoskeletala. Cardiac


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d. Pulmonary


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c. Pulmonic


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c. Troponin I

d. Creatine kinaseb. Complete blood count

a. Lactate dehydrogenase


108/301

c. Troponin I


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c. To decrease the clientsanxiety

d. To decrease oxygen demand

on the clients heartb. To decrease the clients pain

a. To sedate the client


111/301

d. To decrease oxygen demand

on the clients heart


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d. Renal failure

c. Coronary artery thrombosisa. Aneurysm

b. Heart failure


114/301

c. Coronary artery thrombosis


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c. Potassium

d. Sodiumb. Digoxin

a. Chloride


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c. Potassium


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c. Mechanical

d. Metabolicb. Hematologic

a. Electro physiologic


120/301

d. Metabolic


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d. Increased atrial contractions

c. Aortic valve malfunctiona. Ventricular dilation

b. Systemic hypertension


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a. Ventricular dilation


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125/301

a. Left-sided heart failure

b. Pulmonic valve malfunction d. Tricuspid valve malfunction

c. Right-sided heart failure


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a. Left-sided heart failure


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a. Cardiac catheterization

b. Cardiac enzymes d. Electrocardiogram

c. Echocardiogram


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d. Electrocardiogram


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d. Obtain an electrocardiogram

c. Administer sublingual

nitroglycerina. Administer morphine

b. Administer oxygen


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b. Administer oxygen


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b. When the doctor arrives,everything will be fine.

d. Please be assured weredoing everything we can tomake you feel better.

c. This is a bad situation, but

youll feel better soon.

a. Tell me about your feeling

right now.


135/301

a. Tell me about your feeling

right now.


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a. Beta-adrenergic blockers

b. Calcium channel blockers d. Nitrates

c. Narcotics


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a. Cardiogenic shock

b. Heart failure d. Pericarditis

c. Arrhythmias


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c. Arrhythmias


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c. Myocardial infarction

d. Pneumothoraxb. Heart failure

a. Abdominal aortic aneurysm


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b. Heart failure


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b. Raised 10 degrees d. Supine position

c. Raised 30 degreesa. High-fowlers


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c. Raised 30 degrees


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c. Radial pulse

d. Respiratory rateb. Blood pressure

a. Apical pulse


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a. Apical pulse


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b. Furosemide d. Enalapril

c. Metoprolola. Digoxin


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a. Digoxin


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a. Crackles

b. Arrhythmias d. Hypotension

c. Hepatic engorgement


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a. Crackles


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a. DM

b. Pulmonary emboli d. Right-sided heart failure

c. Renal failure


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d. Right-sided heart failure


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d. Polydipsia

c. Oliguria

b. Polyuria

a. Adequate urine output


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c. Oliguria


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c. Diuretics

d. Inotropic agentsb. Calcium channel blockers



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d. Inotropic agents


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d. Decreased myocardial

contractility

c. Hypotensiona. Bradycardia

b. Tachycardia


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b. Cardiomyopathy d. Right-sided heart failure

c. Left-sided heart failurea. Angina pectoris


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d. Right-sided heart failure


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d. Syphilis

c. HPN

b. DM

a. Atherosclerosis


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a. Distal to the iliac arteries

b. Distal to the renal arteries d. Proximal to the renal arteries

c. Adjacent to the aortic branch


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b. Distal to the renal arteries


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b. Enlarged spleen d. Gastritis

c. Gastric distentiona. Abdominal aortic aneurysm


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a. Abdominal aortic aneurysm


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a. Abdominal pain

b. Diaphoresis d. Upper back pain

c. Headache


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a. Abdominal pain


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b. Arteriogram


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b. Aneurysm rupture d. Diminished pedal pulse

c. Cardiac arrythmiasa. HPN


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b. Aneurysm rupture


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194/301

b. Interna d. Interna and Media

c. Mediaa. Externa


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c. Media


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197/301

c. Middle lower abdomen to the

left of the midline

d. Midline lower abdomen to theright of the midline

b. Directly over the umbilicus

a. Right upper quadrant


198/301

c. Middle lower abdomen to the

left of the midline


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c. PVD

d. Syphilisb. HPN

a. DM


201/301

b. HPN


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203/301

b. Crackles d. Friction rubs

c. Dullnessa. Bruit


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a. Bruit


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b. Severe lower back pain,decreased BP, decreased RBC,

increased WBC


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b. Stage 1 pressure ulcer d. Rapid expansion of theaneurysm

c. Retroperitoneal rupture at the

repair sitea. Hernia


210/301

c. Retroperitoneal rupture at the

repair site


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212/301

c. Marfans syndrome

d. Myocardial infarctionb. Lupus erythematosus

a. Cystic fibrosis


213/301

c. Marfans syndrome


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215/301

c. Beta-adrenergic blocker

administration

d. Surgical interventionb. Aortogram

a. Antihypertensive medication

administration


216/301

d. Surgical intervention


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218/301

d. Pericardial Effusion

c. Myocardial infarctiona. Cardiomyopathy

b. Coronary artery disease


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a. Cardiomyopathy


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a. Dilated

b. Hypertrophic d. Restrictive

c. Myocarditis


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a. Dilated


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225/301

c. Hypertrophic


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c. MI

d. Pericardial effusionb. DM

a. Heart failure


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a. Heart failure


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a. Cardiomegaly

b. Cardiomyopathy d. Pericarditis

c. Myocarditis


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a. Cardiomegaly


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a. Pericarditis

b. Hypertension d. Restricitve

c. Obliterative


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d. Restricitve


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b. Normally functioning heartd. Failure of the ventricle to eject

all the blood during systole

c. Decreased myocardialcontractility

a. Dilated aorta


240/301

d. Failure of the ventricle to ejectall the blood during systole


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242/301

d. Nitrates

c. Calcium channel blockersa. Antihypertensive

b. Beta-adrenergic blockers


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b. Beta-adrenergic blockers


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b. Internal mammary artery d. Right coronary artery

c. Left anterior descending arterya. Circumflex artery


246/301

c. Left anterior descending artery


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c. During expiration

d. During systoleb. During diastole

a. During inspiration


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b. During diastole


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b. Bradypnea d. Decreased respirations

c. Bradycardiaa. Dyspnea


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a. Dyspnea


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a. Resonant sounds.

d. Flat sounds.b. Hyper resonant sounds.

c. Dull sounds.


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a. Resonant sounds.


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a. Pleural effusion.

b. Pulmonary edema. d. Oxygen toxicity.

c. Atelectasis.


258/301

c. Atelectasis.


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260/301

c. It decreases use of accessorybreathing muscles.

d. It prolongs the inspiratoryphase of respiration.

b. It increases inspiratory musclestrength.

a. It helps prevent

early airway collapse.


261/301

a. It helps prevent

early airway collapse.


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263/301

a. In 30 minutes

b. In 1 hour d. In 4 hours

c. In 2.5 hours


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a. In 30 minutes


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266/301

a. Kinking of the ventilator tubing

b. A disconnected ventilator

tube

d. A change in the oxygen

concentration without resettingthe oxygen level alarm

c. An ET cuff leak


267/301

a. Kinking of the ventilator tubing


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269/301

a. It makes the centralrespiratory center more sensitiveto carbon dioxide and stimulates

the respiratory drive.

b. It inhibits the enzymephosphodiesterase, decreasing

degradation of cyclicadenosine monophosphate, a

bronchodilator.

d. It alters diaphragmmovement, increasing chest

expansion and enhancing thelungs capacity for gas

exchange.

c. It stimulates adenosine

receptors, causingbronchodilation.


270/301

a. It makes the centralrespiratory center more sensitiveto carbon dioxide and stimulates

the respiratory drive.


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273/301

a. Inflamed lung tissue


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a. Dry cough

b. Hermaturia d. Blood-streaked sputum

c. Bronchospasm


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d. Blood-streaked sputum


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278/301

d. 30 seconds

c. 10 secondsa. 1 minute

b. 5 seconds


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c. 10 seconds


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281/301

c. Stop the procedure and

reoxygenate the client

d. Ensure that the suction islimited to 15 seconds

b. Notify the physician

immediately

a. Continue to suction


282/301

c. Stop the procedure and

reoxygenate the client


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285/301

d. pH, 7.25; PaCO2 50 mm Hg


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d. Metabolic acidosis

c. Respiratory alkalosis

b. Anginal pain

a. Apnea


288/301

a. Apnea


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290/301

a. Alprazolam (Xanax)

b. Propranolol (Inderal) d. Albuterol (Proventil)

c. Morphine


291/301

d. Albuterol (Proventil)


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293/301

c. Numbness and tingling of theextremities

d. Respiratory depressionb. Increased heart rate

a. Heightened alertness


294/301

d. Respiratory depression


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d. Eating more than three largemeals a day

c. Eating a high-protein snack atbedtime

a. Drinking more than 1,500 ml offluid daily

b. Being overweight


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b. Being overweight


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299/301

b. Use of accessory muscles d. Controlled breathing

c. Pursed-lip breathinga. Diaphragmatic breathing


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b. Use of accessory muscles


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nclex questions finals

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