Saturday, April 28, 2007

NCLEX Practice Questions

TRUE or FALSE

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.