More Pictures

Nurses waiting for the review to resume after a short break.

Pictures from the May NCLEX-RN Intensive Review

One of the many pictures we took during the review held at the Asian Institute of Management (AIM).

More NCLEX Practice

TRUE or FALSE. The best explanation a nurse can give for wrapping a client’s stump after leg amputation is to decrease the swelling.

TRUE. Wrapping a stump helps reduce edema and shapes the residual limb in a firm cone-shaped form for the prosthesis

TRUE OR FALSE. A client who is taking monoamine oxidase inhibitor (MAOI) should be eating prunes.

FALSE. Prunes should be avoided as they can result in a sudden and severe increase in blood pressure caused by high levels of tyramine. If this blood pressure is not controlled immediately, intracranial hemorrhage and death may result. This client should be eating fresh vegetables.

REDUCTION OF RISK

Appropriate placement of a nasogastric tube is associated with which of the following assessment techniques?

A. Listening for bowel sounds
B. Palpating over the epigastric region
C. Aspirating drainage through the nasogastric tube
D. Inserting the open end of the nasogastric tube into water

Answer: C. The nurse should instill air into the tube with a syringe and listen to a stethoscope for the air passing into the stomach or aspirate gastric contents. The other options are not identified as measures for verifying tube placement.

COPING AND ADAPTATION

A nurse is asked to obtain the vital signs on a sleeping 4-month-old infant. Which of the following assessments would the nurse obtain first?

A. Apical pulse
B. Blood pressure
C. Axillary temperature
D. Respiratory rate

Answer: D. This is the least intrusive because the nurse does not need to touch the infant. The other assessments require touching and possibly disturbing the client. If an infant fusses or cries, the accuracy of the vital signs will decrease.

NCLEX PRACTICE QUESTIONS

BASIC CARE AND COMFORT

A male client has just had a cholecytectomy. Which of the following statements would indicate that the client understands the post-op dietary restrictions?

A. "I can eat whatever I can tolerate."
B. "I should avoid sodas and other carbonated drinks."
C. "I need to increase my intake of high-fiber foods."
D. "I need to limit my intake of citrus foods like oranges and grapefruit."

Answer: A. For several weeks following stone removal, the client should eat a low fat diet until fat digestion is normalized. After that period, a normal diet is usually tolerated & should be encouraged.

PHYSIOLOGICAL ADAPTATION

A female post laryngectomy client, is being prepared for discharge. Which of the following questions would indicate the client has an understanding of the discharge teachings?

A. "Should I eat a high protein, low fat diet?"
B. "How long should I keep the plug for the laryngectomy tube in a disinfectant?"
C. "Which humidifier would be best to use?"
D. "How long will I aspirate food?"

Answer: C. Since the nose normally humidifies air, a client who has had a laryngectomy will require supplemental humidification. There are no dietary restrictions, and laryngectomy tubes are not plugged. There is no risk for aspiration since there is no connection between the esophagus & respiratory tract.

PHARMACOLOGICAL AND PARENTERAL THERAPIES

A female client is taking TheoDur (theophylline) to manage her asthma. Which of the following symptoms, if displayed, should the client report to the nurse?

A. Orangey-red urine
B. Heart palpitations
C. Excessive thirst
D. Weight gain

Answer: B. Adverse effects of theophylline include headache, dizziness, N&V, nervousness, epigastric pain and heart palpitations. The other options are not adverse effects of the drug.

SAFETY AND INFECTION CONTROL

A 80 year old male patient, is experiencing bladder incontinence. He is also at high risk for falls. Which of the following nursing measures should be included in this client's care plan?

A. Sedate as needed
B. Toilet every 1-2 hours
C. Use a chest posey restraint
D. Monitor activities every 2 hours

Answer:B. Establishing a bladder routine would be important for this patient, usually set at 2 hour intervals throughout the day & every 4 hours at night. This client should be encouraged to urinate when the urge arises. Restraints should not be used as convenience devices for fall prevention. Sedatives should be limited because they decrease the urination sensation.

Leni De Ramos-RN, NCLEX Passer

I want to congratulate Leni De Ramos for recently passing NCLEX. I am proud of her success.