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NCLEX - MedSurg Test

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1.
Who is at risk for stroke?
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2.
What actions should the nurse take if a hemolytic transfusion reaction occurs?
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3.
What nursing interventions prevent corneal drying in a comatose client?
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4.
List four rationales for the appearance of restlessness in the unconscious client.
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5.
Define Agraphia
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6.
List four topics you would cover when teaching an immunosuppressed client about infection control.
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7.
Define Dysarthria
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8.
State three symptoms of hyperthyroidism and three symptoms of hypothyroidism.
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9.
What is the action of hyperosmotic agents (osmotic diuretics) used to treat ICP?
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10.
Name three priorities to include in a discharge plan for a client who has had a mastectomy.
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11.
What types of drugs are used in the treatment of myasthenia gravis?
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12.
List five symptoms indicative of colon cancer.
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13.
Complications of immobility include the potential for thrombus development. State three nursing interventions to prevent thrombi.
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14.
Normal BUN
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15.
When do PVCs present a grave danger?
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16.
Identify the peak action time of the following types of insulin: rapid-acting regular insulin; intermediate-acting insulin; long-acting insulin.
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17.
Identify two nursing interventions for the client on hemodialysis.
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18.
What precautions should clients with valve disease take prior to invasive procedures or dental work?
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19.
Define Alexia
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20.
During mechanical ventilation, what are three major nursing interventions?
A.
Persons with histories of HTN, previous TIAs, cardiac disease (atrial flutter or fibrillation), diabetes, or oral contraceptive use; and older adults
B.
When they begin to occur more often than once in 10 beats, occur in twos or threes, land near the T wave, or take on multiple configurations
C.
Hyperthyroidism: weight loss, heat intolerance, diarrhea; Hypothyroidism: fatigue, cold intolerance, weight gain
D.
Handwashing technique. Avoid infected persons. Avoid crowds. Maintain daily hygiene to prevent spread of microorganisms.
E.
Turn off transfusion. Take temperature. Send blood being transfused to lab. Obtain urine sample. Keep vein patent with normal saline.
F.
difficulty articulating
G.
Do not take BP or perform venipuncture on the arm with the AV shunt, fistula, or graft. Assess access site for thrill and bruit.
H.
loss of the ability to read
I.
Rapid-acting regular insulin: 2 to 4 hours; immediate-acting insulin: 6 to 12 hours; long-acting insulin: 14 to 20 hours
J.
Rectal bleeding, change in bowel habits, sense of incomplete evacuation, abdominal pain with nausea, weight loss
K.
10 to 20 mg/dL
L.
loss of the ability to write
M.
Monitor client’s respiratory status and secure connections; establish a communication mechanism with the client; keep airway clear by coughing and suctioning.
N.
They dehydrate the brain and reduce cerebral edema by holding water in the renal tubules to prevent reabsorption, and by drawing fluid from the extravascular spaces into the plasma.
O.
Irrigation of eyes PRN with sterile prescribed solution, application of ophthalmic ointment every 8 hours, close assessment for corneal ulceration or drying
P.
Frequent range-of-motion exercises, frequent (every 2 hours) position changes, and avoidance of positions that decrease venous return.
Q.
Take prophylactic antibiotics.
R.
Arrange for Reach to Recovery visit. Discuss the grief process with the client. Have physician discuss with client the reconstruction options.
S.
Anticholinesterase drugs, which inhibit the action of cholinesterase at the nerve endings to promote the accumulation of acetylcholine at receptor sites; this should improve neuronal transmission to muscles.
T.
Anoxia, distended bladder, covert bleeding, or a return to consciousness
Type the Answer that corresponds to the displayed Question.
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21.
What is often the underlying cause of an abdominal aortic aneurysm?
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22.
What is the most common risk factor associated with lung cancer?
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23.
Malodorous, frothy, greenish-yellow vaginal discharge is characteristic of which STD?
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24.
The presence of ______ mL of residual in an adult usually indicates poor gastric emptying, and the feeding should be withheld.
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25.
What diagnostic test is used to determine thyroid activity?
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26.
Which type of diabetes sometimes requires no medication?
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27.
What is the atntagonist for warfarin (Coumadin)?
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28.
What is the main side effect of lactulose, which is used to reduce ammonia levels in clients with cirrhosis?
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29.
List three of the most common joints that are replaced.
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30.
dysfunctional swallowing

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