NCLEX NCLEX-RN
NCLEX RN Exam Review Answers
1. During an assessment of a child admitted to the hospital with a probable diagnosis of nephrotic syndrome, what assessment findings should the nurse expect to observe? Select one that applies.
- A. Proteinuria
- B. Weight gain
- C. Decreased serum lipids
- D. Hematuria
Correct answer: Proteinuria
Rationale: In nephrotic syndrome, the hallmark finding is massive proteinuria due to increased glomerular permeability. This leads to hypoalbuminemia, resulting in generalized edema. Weight gain, not weight loss, is typically seen due to fluid retention. Serum lipids are elevated, not decreased, in nephrotic syndrome. Hematuria, the presence of blood in the urine, is not a typical finding in nephrotic syndrome.
2. A child has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?
- A. The child has a poor chance of recovery without joint deformity.
- B. Most children progress to adult rheumatoid arthritis.
- C. Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
- D. Physical activity should be minimized.
Correct answer: Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
Rationale: The correct answer is that nonsteroidal anti-inflammatory drugs are the first choice in treatment for juvenile idiopathic arthritis (formerly known as juvenile rheumatoid arthritis). NSAIDs are important as a first-line treatment and typically require 3-4 weeks for the therapeutic anti-inflammatory effects to be realized. Choice A is incorrect as early treatment can improve outcomes and prevent joint deformities. Choice B is incorrect as juvenile idiopathic arthritis does not necessarily progress to adult rheumatoid arthritis. Choice D is incorrect as physical activity should be encouraged in children with arthritis to maintain joint mobility and overall health.
3. A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the healthcare provider ordering:
- A. Pulmonary embolectomy
- B. Vena caval interruption
- C. Increasing the coumadin therapy to achieve an INR of 3-4
- D. Thrombolytic therapy
Correct answer: Vena caval interruption
Rationale: In the case of a client with a history of recurrent pulmonary embolism or contraindications to heparin, vena caval interruption may be necessary. Vena caval interruption involves placing a filter device in the inferior vena cava to prevent clots from traveling to the pulmonary circulation. Pulmonary embolectomy is a surgical procedure to remove a clot from the pulmonary artery, which is usually considered in severe or life-threatening cases. Increasing coumadin therapy to achieve a higher INR may be an option but vena caval interruption would be more appropriate in this scenario. Thrombolytic therapy is used in acute cases of pulmonary embolism to dissolve the clot rapidly, but in a recurrent case with contraindications to anticoagulants, vena caval interruption would be a preferred intervention.
4. What initial response would the nurse give to a husband who is upset that his wife's alcohol withdrawal delirium has persisted for a second day?
- A. “I see that you're worried. We're using medication to ease your wife's discomfort.”
- B. “This is expected. I suggest that you go home because there's nothing you can do to help.”
- C. “If you’re afraid that she will die, I assure you, very few alcoholics die during detoxification.”
- D. “If you are concerned that she is uncomfortable, I'm sure that she's not in pain.”
Correct answer: “I see that you're worried. We're using medication to ease your wife's discomfort.”
Rationale: The correct response is to acknowledge the husband's feelings and provide information on the treatment plan to alleviate his concerns. This approach validates his emotions and educates him on the steps being taken to help his wife, promoting understanding and reducing anxiety. Choice B is incorrect as it dismisses the husband's worries and implies helplessness, potentially increasing his distress. Choice C is inappropriate as it introduces the concept of death, which can heighten fear and anxiety in the husband. Choice D is not recommended as it provides reassurance about the wife's pain without accurate knowledge of her discomfort, which could undermine trust and communication between the nurse and the husband.
5. A nurse is completing an incident report about a medication error that she made when she accidentally administered too much insulin to a diabetic client. All of the following are components of this documentation EXCEPT:
- A. The reason for administering the wrong dose
- B. The type of drug involved
- C. The amount of insulin that was given
- D. Any adverse effects on the client
Correct answer: The reason for administering the wrong dose
Rationale: When completing an incident report for a medication error, it is essential to include factual information such as the type of drug involved, the amount administered, and any adverse effects on the client. However, stating the reason for administering the wrong dose should be avoided in documentation. The focus should be on reporting what happened rather than assigning blame or admitting fault. This approach helps in ensuring a thorough and accurate account of the medication error without introducing subjective elements that could complicate the investigation or resolution process. Therefore, the correct answer is 'The reason for administering the wrong dose.' Choices A, B, and D are vital components of incident report documentation, providing crucial details that help in understanding the error and its impact on the client.
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