NCLEX-RN

NCLEX-RN Review Study Guide

32. A community health nurse is teaching patients about how to prevent glomerulonephritis. She teaches the patients to get prompt treatment for which condition? a. Diabetes b. Strep throat c. Influenza d. Coronary artery disease 33. A patient has had a liver biopsy. Which would be the earliest sign of bleeding as a result of the biopsy? a. Blood on the dressing b. Change in vital signs c. Skin color change d. Decreased urine output 34. Which of these lab results would be most concerning? a. Hemoglobin 11.2 b. WBC’s 11.5 c. Potassium 2.8 d. Calcium 9.5 35. A patient with a high ammonia level is being monitored for encephalopathy. The nurse should be looking for changes in: a. Mental status b. Urine output c. Abdominal pain d. Vital signs 36. One of the most common problems associated with a Blakemore tube is: a. Blood pressure changes b. Mucosal ulcerations c. Electrolyte imbalance d. Blood loss

37. An elated, hyperactive patient is showing an increase in psychomotor activity. What is the first action the nurse should take? a. Try to distract the patient b. Confront the patient about his behavior c. Put the patient in a group activity d. Decrease environmental stimuli 38. A patient is getting peritoneal dialysis. The nurse notices that the waste is draining slowly and intermittently. What should be her first action? a. Call the doctor b. Clamp the catheter tubing c. Turn the patient from side to side d. Try to flush the system 39. Which of the following predisposes a patient for hepatitis A? a. Being an IV drug user b. Eating contaminated vegetables or fruits c. Being homosexual d. Recently having a blood transfusion 40. Which of the following is the best menu choice for a gallbladder patient? a. Egg salad sandwich b. Baked custard c. Chicken salad with mayonnaise d. Boiled chicken 41. What causes the buffalo hump in Cushing’s patients? a. Increased sodium and water retention b. Alteration in fat distribution c. Muscle atrophy d. Excessive glucose

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