Saturday, April 28, 2007

NCLEX Practice Questions


1. A client who is terminally ill tells the nurse that when the time comes, he does not want to be resuscitated. The greatest priority for the nurse would be talk to the client’s family about his wishes.

FALSE: The greatest priority would be to notify the MD to provide a written order.

2. A cesarean section is always performed when the client has current pelvic inflammatory disease.

FALSE: PID does not have a direct influence on the method of delivery.

3. A client has just undergone gastric resection and is being transferred to the post-anesthesia recovery room. The nurse knows that the first priority assessment in caring for this client, is airway and oxygenation assessment.

TRUE: Anesthetic agents affect respiratory rate and quality

4. A male client is admitted to the hospital for incision and drainage of an abscess. He has a current history of narcotics addiction. The nurse would expect him to experience flu-like symptoms of withdrawal.

TRUE: Withdrawal from narcotics also includes restlessness and anxiety

5. The staff nurse in the pediatrics unit has just finished reading over the end-of-shift report. Which of the following clients should he assess first?

A. A child with asthma who has retractions
B. A toddler who had surgery for phimosis and is incontinent
C. An infant with acute gastroenteritis, with green liquid stools
D. A child with sickle cell anemia complaining of chest pain

Answer: D. The chest pain could signal the development of acute chest syndrome, a serious complication of sickle cell anemia, which is similar to pneumonia.

Monday, April 23, 2007

Julie Balatbat,RN- NCLEX Passer

Congratulatlions to Julie Balatbat for passing NCLEX. She took NCLEX in the US. This is another Entralink success story. Job well done.

Friday, April 20, 2007

NCLEX Practice Questions

1. Premature ventricular contractions present a grave danger when they:

A. Take on multiple configurations
B. Occur in 2's or 3's
C. Land near a T-wave
D. All of the above

Answer: D. PVCs also present danger to the client when they begin to occur more often than once in 10 beats.

2. The clinical manifestations of jaundice include:

A. Clay-colored stools and dark-colored urine
B. Dark-colored urine and diarrhea
C. Diarrhea and slera
D. None of the above

Answer: A. Other manifestations include yellow skin, slera and/or mucous membranes.

3. True or false. Clients with jaundice have an absence of bilirubin in stools.

Answer: True. There is a presence of bilirubin in the skin and urine.

4. Lupus, an autoimmune disorder, can be triggered by which of the following?

A. Sunlight
B. Alcohol consumption
C. Insect bite
D. All of the above

Answer: A. Lupus can also be triggered by pregnancy, stress and drugs.

5. When speaking to clients with hearing impairments, nurses should:

A. Avoid using visual aids, because it may make the client uncomfortable.
B. Stand in front of the person.
C. Speak slowly and distinctly in a low-pitched voice.
D. All of the above are acceptable for communication
E. B & C only

Answer: E. It is acceptable to use visual aids when communicating with the hearing impaired.
6. The nurse supervisor brings a small group of student nurses to the Neuro unit. They are brought into a room with a neurologically impaired client. One nurse asks the supervisor if it is typical for the client to be prescribed a narcotic. The best response by the supervisor would be:

A. Narcotics are generally prescribed to neurologically impaired clients.
B. Clients who are neurologically impaired should avoid narcotics.
C. Definitely. Narcotics improve the client's level of responsiveness.
D. All of the above are valid responses.

Answer: B. Narcotics should be avoided because they mask: (i) the level of responsiveness and (ii) the pupillary response.

7. True or false. Following a hysterectomy, ambulation should be discouraged.

Answer: FALSE. Nurses should encourage ambulation as soon as possible.

Monday, April 16, 2007

Reuben Fernandez, RN- New NCLEX Passer

Finally! Dr. Reuben passed the most awaited NCLEX in April 14. He is now a registered nurse of New Mexico state.

Dr. Reuben is a proud member of Entralink family. Congratulations and job well done!

Marichu Cabrera, RN- NCLEX Passer

Congratulations to Marichu Cabrera, RN. She just recently passed the NCLEX she took in April 14. She is now a registered nurse of New Mexico.

Job well done Marichu.

Sunday, April 15, 2007

Herminia Pascua, RN- New NCLEX Passer

I am happy to announce that Herminia Pascua, just recently passed the NCLEX exam she took in HongKong. She is now an official California registered nurse. Great job!


Maria Bernadette Cabrera, RN- NCLEX Passer

Congratulations to Maria Bernadette Cabrera, a new NCLEX passer. Bernadette took her NCLEX in Gardenia California on March 28, 2007. She is now a California registered nurse. We are so happy with your success.

Saturday, April 14, 2007

NCLEX TOPIC: Mallory-Weiss tear

What is it?

A tear in the mucous membrane where the esophagus connects to the stomach, which causes bleeding.

How is it caused?

Mallory-Weiss tears are usually caused by forceful or long-term vomiting or coughing but may also be caused by epileptic convulsions.

What are the signs and symptoms?

Vomiting bright red blood or passing blood in the stool.

What diagnostic tests are performed?

A EGD (esophagogastroduodenoscopy) will show a tear with bleeding.

What type of treatment is required?

The tear usually heals in about 10 days without special treatment. Surgery is rarely required. The patient may be prescribed antacids, such as proton pump inhibitors or H2 blockers. If blood loss has been great, blood transfusions may be necessary.

NCLEX TOPIC: Splenectomy

What is it?

Surgery to remove a diseased or damaged spleen.

Why is this procedure performed?

The spleen is removed following rupture due to (i) acquired hemolytic anemia, (ii) trauma with uncontrolled bleeding, (iii) tumor or (iv) idiopathic thrombocytopenia purpura (ITP)


With elective spleen removal, patients are given vaccines against certain bacteria prior to the surgery. With emergency spleen removal, vaccines are given to the patient following surgery. Answer: TRUE

The spleen plays a role in immunity against bacterial infections. A splenectomy makes a patient more vulnerable to infection.
Answer: TRUE

Patients who have had a splenectomy should seek medical attention for even seemingly minor illnesses, such as sinus infections or sore throats. They may require antibiotics.
Answer: TRUE

Friday, April 13, 2007

Beth Marcos- CGFNS Passer

I also want to congratulate Beth Marcos for passing the CGFNS last March 20. I am so thrilled of the news since Beth did not finish her Part I test.

Great job Beth. I wish you the best as you take the NCLEX exam.

Gloria Valdizno, RN- NCLEX Passer

Another Entralink NCLEX passer, Gloria Valdizno is now a registered nurse for the state of New Mexico. Great job Gloria!

I will get some inputs from her about her exam as soon as I reach her. Hope to speak to her soon, and I will share some feedbacks later.

Carlo Perlas, RN- NCLEX & CGFNS Passer

I want to congratulate Carlo Perlas for passing both the CGFNS and the NCLEX exams. He took the CGFNS on March 20 and the NCLEX on the 22nd. He is now a registered license for the state of California.

He said that our proprietary "Critical Questioning Method" helped him pass the NCLEX. He will be at the seminar tomorrow to speak about his CGFNS & NCLEX experience.

Saturday, April 07, 2007

Physiological Adaptation: TRUE or FALSE

1.Open reduction involves force applied in two directions to obtain alignment and to reduce or eliminate muscle spasms.

Answer: FALSE. Open reduction is an operative procedure utilized to achieve bone alignment through use of pins, wires, rods or nails. These secure bone fragments and keep them in position.

2. As the incision heals following a leg amputation, the bandage is applied in a cone shape to prepare the stump for prosthesis.

Answer: TRUE.

3. The most important activity a client can perform following thoracic surgery are arm exercises to prevent shoulder ankylosis.

Answer: FALSE. Deep breathing and coughing up sputum are the most important activities following surgery. This prevents airway obstruction by reducing bronchotracheal secretions, preventing atelectasis and promoting ventilation.

4. The best activity for a client displaying hyperactive behavior would be playing chess.

Answer: FALSE. Clients who are hyperactive need to participate in activities which allow for energy release without the external stimuli and pressure of competitive games.

5. For aging clients, thinning of the skin increases the risk for infection.

Answer: TRUE. Thin skin means the client is prone to skin tears and pressure ulcers, which reduce the skin's ability to act as a barrier to infection.

Tuesday, April 03, 2007

Arqueene Chiong, RN- New NCLEX Passer

I would like to congratulate Arqueene Chiong for passing the NCLEX. She is a 2006 batch graduate and took her NCLEX exam late March.

The month of March is a great month for us. Why? Everyone who took the NCLEX exam this March all passed. We have two more nurses waiting for their result which will be issued sometime middle of April.

Why are these nurses successful in their exam? These nurses have faith in our program. They listened to our recommendations, and are passionate about their online review. I can asssure you, we have given you everything you need to know to pass NCLEX. If you concentrate on the materials we give you, the online practice, the blogspot, and the review manual you receive as final coaching, you are well on your way to successfully passing NCLEX.

Pls. do not look elsewhere or don't get confused with so many review materials. With your hardwork, prayers, and our support. You will Pass NCLEX. As I say, PAPASAKAYO!

Sunday, April 01, 2007

Physiological Adaptation: Oncology/Hematology

1. A client complaining of chronic hoarseness is scheduled for a laryngoscopy. What disease is the MD trying to rule out?
Answer: If hoarseness lasts for more than 4-6 weeks, this examination should be performed to eliminate the possibility of laryngeal carcinoma.

2. What 3 laboratory tests would be most helpful in establishing the diagnosis of DIC?
Answer: Prothrombin time (PT) prolonged, Low platelet count, Low fibrinogen

3. What are the mainstays of therapy for a client in a sickle cell disease?
Answer: Hydration, analgesia, oxygen, cardiac monitoring

4. What are the 3 conditions under which the administration of PRBC should be considered?
Answer: Acute hemorrhage- blood loss of >1.5 Liters

Surgical blood loss- >2 Liters
Chronic anemia- <7-8g/dl>

5. What are the risk factors for colon cancer?
Answer: Age >50, familial polyposis, ulcerative colitis, crohn's disease, radiation exposure, benign adenoma and previous history of colon cancer.

6. What type of diet has been shown to decrease chances of colorectal cancer?
Answer: Low fat, High fiber diet