NCLEX Secrets about Musculoskeletal Injuries (46-50)

NCLEX Secrets about Musculoskeletal Injuries

46. A client is treated in physician's office for a sprained ankle after a fall. Radiographic examination has ruled out a fracture. Before sending the client home, the nurse plans to teach the client to avoid which of the following in the next 24 hours?

a) resting the foot
b) applying a heating pad
c) applying an elastic compression bandage
d) elevating the ankle on a pillow while sitting or lying down

47. A nurse is conducting health screening for osteoporosis. Which of the following client is at greatest risk of developing this disorder?

a) a 25-year old woman who jogs
b) a 36-year old man who has asthma
c) a 70-year old man who consumes excess alcohol
d) a sedentary 65-year old woman who smokes cigarettes

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NCLEX Review About The Aging Eye 46-50

Welcome to NCLEX Review About The Aging Eye. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :

Complete NCLEX Study Materials

Enjoy answering and I hope that NCLEX Review and Secrets can somehow help you in your future examination. Good Luck


46. Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma. Which of the following medications does the nurse plan to have available in case of systemic toxicity?

a) atropine sulfate
b) pindolol (Visken)
c) protamine sulfate
d) naloxone hydrochloride (Narcan)

47. Betaxolol hydrochloride (Betoptic) eye drops have been prescribed for the client with glaucoma. Which of the following nursing actions is most appropriate related to monitoring for the side effects of this medication?

a) monitoring temperature
b) monitoring blood pressure
c) assessing peripheral pulses
d) assessing blood glucose level

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NCLEX Review About The Aging Eye 41-45

NCLEX Review About The Aging Eye

41. Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse analyzes the test results as documented in the client's chart and understands that the normal intraocular pressure is:

a) 2 to 7 mm Hg
b) 10 to 21 mm Hg
c) 22 to 30 mm Hg
d) 31 to 35 mm Hg

42. The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with intraocular implantation. Which home care measures will the nurse include in the plan? Select all that apply

a) avoid activities that require bending over
b) contact the surgeon if eye scratchiness occurs
c) place an eye shield on the surgical eye at bedtime
d) episodes of sudden severe pain in the eye are expected
e) contact the surgeon if a decrease in visual acuity occurs
f) take acetaminophen (Tylenol) for minor eye discomfort

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NCLEX Review About The Aging Eye (36-40)

NCLEX Review About The Aging Eye

36. The nurse is caring for a client following enucleation. The nurse notes the presence of bright red drainage on the dressing. Which nursing action is appropriate?

a) notify the physician
b) document the finding
c) continue to monitor the drainage
d) mark the drainage on the dressing and monitor for any increase in bleeding

37. A 55-year old woman was working in her garden. She accidentally sprayed insecticide into her right eye. She calls the emergency room frantic and screaming for help. The nurse should instruct the woman to take which immediate action?

a)  call the physician
b) irrigate the eyes with water
c) come to the emergency room
d) irrigate the eyes with diluted hydrogen peroxide

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NCLEX Review About The Aging Eye (31-35)

NCLEX Review About The Aging Eye

31. The nurse is caring for a client with a diagnosis of detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment?

a) total loss of vision
b) a reddened conjunctiva
c) a sudden sharp pain in the eye
d) complaints of a burst of black spots or floaters

32. The client arrives in the emergency room following an automobile accident. The client's forehead hit the steering wheel and a hyphema is diagnosed. The nurse places the client in which position?

a) flat on bed rest
b) semi-fowler's on bed rest
c) lateral on the affected side
d) lateral on the unaffected side

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NCLEX Review About The Aging Eye (26-30)

NCLEX Review About The Aging Eye

26. During the early postoperative period, the client who has had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:

a) call the physician
b) reassure the client that this is normal
c) turn the client on his or her operative side
d) administer the ordered pain medication and anti-emetic

27. The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following, if stated by the client, indicates an understanding of the instructions?

a) I will take aspirin if I have any discomfort
b) I will sleep on the side that I was operated on
c) I will not lift anything if weighs more than 10 pounds
d) I will wear my eye shield at night and my glasses during the day

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NCLEX Endocrine Questions 51-55

NCLEX Endocrine Questions

51. A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

a) relief of pain
b) signs of renal toxicity
c) signs and symptoms of hyperglycemia
d) signs and symptoms of hypothyroidism

52. A nurse develops a plan of care for a client with hyperparathyroidism who is receiving calcitonin salmon (Calcimar). Which of the following outcome criteria has the highest priority regarding this medication?

a) relief of pain
b) absence of side effects
c) achievement of normal serum calcium levels
d) verbalization of appropriate medication knowledge

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NCLEX Endocrine Questions (46-50)

NCLEX Endocrine Questions

46. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in an emergency room. Which finding would a nurse expect to note as confirming this diagnosis?

a) comatose state
b) decreased urine output
c) increased respiration and an increase in pH
d) elevated blood glucose level and low plasma bicarbonate level

47. A nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that glucose will be taken if which of the following symptoms develops?

a) polyuria
b) shakiness
c) blurred vision
d) fruity breath odor

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NCLEX Endocrine Questions (41-45)

NCLEX Endocrine Questions

41. A client with diabetes mellitus has a glycosylated hemoglobin level of 9%. Based on this result, the nurse plans to teach the client about the need to:

a) avoid infection
b) take in adequate fluids
c) prevent and recognize hypoglycemia
d) prevent and recognize hyperglycemia

42. A nurse is preparing a teaching plan for a client with diabetes mellitus regarding proper foot care. Which instruction is included in the plan?

a) soak feet in hot water
b) avoid using a mild soap on the feet
c) apply a moisturizing lotion to dry feet but not between the toes
d) always have a podiatrist cut your toenails; never cut them yourself

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NCLEX Review on Delegation and Prioritization Questions 46-50

Welcome to NCLEX Review on Delegation and Prioritization Questions. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :

Complete NCLEX Study Materials

Enjoy answering and I hope that NCLEX Review and Secrets can somehow help you in your future examination. Good Luck


46. A labor and delivery room nurse has just received report on four clients. The nurse should assess which client first?

a) a primiparous client in the active stage of labor
b) a multiparous client who was admitted for induction of labor
c) a client who is not contracting, but has suspected premature rupture
d) a client who has just received an IV loading dose of magnesium sulfate to stop preterm labor

47. A nurse in a newborn nursery receives a telephone call to prepare for the admission of a 43-week gestation newborn infant with Apgar scores of 1 and 4. In planning for admission of this infant, the nurse's highest priority should be to:

a) turn on the apnea and cardiorespiratory monitors
b) connect the resuscitation bag to the oxygen outlet
c) set up the intravenous line with 5% dextrose in water
d) set the radiant warmer control temperature at 36.5C (97.6F)

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NCLEX Secrets about Musculoskeletal Injuries (9-13)

NCLEX Secrets about Musculoskeletal Injuries

Situation: Karen, a 32 year old vendor, is admitted to the hospital with diagnosis of Rheumatoid Arthritis.

9. Which type of exercise should the nurse recommend to Cindy?

a) jogging
b) swimming
c) bicycling
d) skating

10. Before discharge, the nurse tells Karen that she should pace her activities. An example of pacing activities would be:

a) doing all her household chores in the morning and resting in the afternoon
b) taking a nap before going shopping
c) hiring a helper to do the housework

11. Which type of medication is most commonly used to treat rheumatoid arthritis?

a) glucocorticoids
b) non-steroidal ant-inflammatory drugs (NSAIDs)
c) antimalarial drugs
d) gold salts

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NCLEX Review on Delegation and Prioritization Questions (41-45)

NCLEX Review on Delegation and Prioritization Questions


42. A nurse on the day shift walks into a client's room and finds the client unresponsive. The client is not breathing and does not have a pulse, and the nurse immediately calls out for help. The next nursing action is which of the following?

a) open the airway
b) give the client oxygen
c) start chest compressions
d) ventilate with a mouth-to-mask device

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NCLEX Review on Delegation and Prioritization Questions (36-40)

NCLEX Review on Delegation and Prioritization Questions

36. The nurse is giving a bed bath to an assigned client when a nursing assistant enters the client's room and tells the nurse that another assigned client is in pain and needs pain medication. The appropriate nursing action is which of the following?

a) finish the bed bath and then administer the pain medication to the other client
b) ask the nursing assistant to find out when the last pain medication was given to the client
c) ask the nursing assistant to tell the client in pain that medication will be administered as soon as the bed bath is complete
d) cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client


37. A nurse is preparing to obtain an arterial blood gas specimen from a client and plans to preform the Allen's Test on the client. Arrange in order of priority the steps for performing Allen's test. (Letter A is the first step and letter F is the last step.

a) document the findings
b) explain the procedure to the client
c) release pressure from the ulnar artery
d) apply pressure over the ulnar and radial arteries
e) ask the client to open and close the hand repeatedly
f) assess the color of the extremity distal to the pressure point

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NCLEX Review on Delegation and Prioritization Questions (31-35)

NCLEX Review on Delegation and Prioritization Questions

31. A nurse employed in an emergency department is assigned to triage clients arriving to the emergency room for treatment on the evening shift. The nurse should assign highest priority to which of the following clients?

a) a client complaining of muscle aches, a headache, and malaise
b) a client who twisted her ankle when she fell while rollerblading
c) a client with a minor laceration on the index finger sustained while cutting an eggplant
d) a client with chest pain who states that he just ate pizza that was made with a very spicy sauce

32. The RN is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant?

a) a client requiring colostomy irrigation
b) a client receiving continuous tube feedings
c) a client who requires urine specimen collections
d) a client with difficulty swallowing foods and fluids

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NCLEX Endocrine Questions (36-40)

NCLEX Endocrine Questions

36. Which of the following assessment findings characterize thyroid storm?

a) increased body temperature, decreased pulse, and increased blood pressure
b) increased body temperature, increased pulse, and increased blood pressure
c) increased body temperature, decreased pulse, and decreased blood pressure
d) increased body temperature, increased pulse, and decreased blood pressure

37. The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply

a) instill isotonic eye drops as necessary
b) provide several, small, well-balanced meals
c) provide rest periods
d) keep environment warm
e) encourage frequent visitors and conversation
f) weigh the client daily

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