Practice Quiz NCLEX RN Part 4 for your nursing review. Subjects include anastomosis, insulin-dependent diabetes, multiple sclerosis exacerbation, renal calculi, and gastric ulcer.
Results
#1. The nurse should keep an eye out for any bronchodilator-related side effects. Bronchodilators have the following adverse effects
Nausea is a common side effect of bronchodilators. Answers A and C are erroneous since they are not related to bronchodilators. Hypotension is a symptom of toxicity, not a side effect, so answer D is incorrect.
#2. A baby delivered by C-section has a 5-minute Apgar score of 9. The following is the most likely explanation for this score
Despite the fact that cyanosis of the hands and feet is frequent in newborns, it is the cause of an Apgar score of less than ten. Answer B suggests cooling, which the Apgar can not recognize. Because conjunctival hemorrhages are not linked to the Apgar score, answer B is wrong. Answer D is wrong because it falls within the Apgar’s usual range.
#3. With a temperature of 103.6°F and agitation, a 5-month-old newborn is taken to the emergency room. The boy had been listless for several hours, according to the mother, and he suffered a seizure on the way to the hospital. The diagnosis of bacterial meningitis is confirmed by a lumbar puncture. The nurse should look for the following things in the baby:
An increase in intracranial pressure is indicated by the tenseness of the anterior fontanel. Periorbital edema is not linked to meningitis, hence answer A is incorrect. Because a positive Babinski reflex is normal in infants, answer C is erroneous. Answer D is wrong since it refers to a premature infant, not a meningitis-affected infant.
#4. With an NG tube coupled to intermittent suction, a client with a gut resection and anastamosis returns to his room. Which of the following observations shows proper nasogastric suction?
The stomach is decompressed by nasogastric suction, leaving the abdomen soft and non-distended. Answer B is inaccurate because it has nothing to do with the NG suction’s efficacy. Answer C is erroneous because it refers to peristalsis rather than the NG suction’s efficiency. Answer D is wrong since it refers to wound healing rather than the NG suction’s efficiency.
#5. The client with insulin-dependent diabetes is being taught the signs of hypoglycemia by the nurse. Hypoglycemia is related to which of the following symptoms?
Hypoglycemia is characterized by tremulousness. Because they are signs of hyperglycemia, answers B, C, and D are incorrect.
#6. Which of the following symptoms is related with multiple sclerosis exacerbation?
Double vision is the most prevalent symptom of multiple sclerosis exacerbation. Answers A, B, and D are erroneous since they are not linked to a diagnosis of multiple sclerosis.
#7. Which of the following situations is most likely to cause renal calculi to form?
Gout and renal calculi are caused by an excess of uric acid in the body. Because it does not contribute to renal calculi, answer B is false. Reduced calcium levels can cause answers C and D. Answers C and D are inaccurate since renal calculi are caused by an excess of calcium in the body.
#8. A client with AIDS is admitted for wasting syndrome treatment. Which of the following dietary adjustments can be utilized to compensate for the digestive tract's restricted absorption capacity?
Small, regular meals will increase the client’s appetite while also reducing nausea. Answer A is inaccurate since it does not account for the fact that absorption is restricted. Answer B is wrong since foods and beverages containing live cultures are not recommended for immune-compromised clients. Because pushing fluids will not compensate for the intestine’s decreased absorption, answer C is wrong.
#9. Prednisone, methotrexate, and cimetidine are all part of the therapy plan for a client with acute lymphatic leukemia. The cimetidine objective is to
Gastric ulcers are a typical side effect of prednisone. Cimetidine is used to help prevent ulcers from forming. Answers A, B, and C are erroneous because they have nothing to do with the use of cimetidine.
#10. Which of the following meals is appropriate for a six-month-old baby?
A 6-month-old infant should eat rice cereal, apple juice, and formula. Whole milk, orange juice, and eggs are not appropriate for young newborns and are thus inappropriate.
