Sample Questions

A 17-year-old client is brought to the ER after slashing both of their wrists. The nurses' first concern would be:

A. To obtain the client's medical history
B. To reduce the client's anxiety
C. To stabilize the client's physical condition
D. To determine what caused the wrist slashing

Answer: C. The nurse should first deal with lifesaving. "B" & "D" should be done following stabilization of the client's physical condition. "A" is not a necessary lifesaving concern.

TRUE of FALSE

After administering syrup of ipecac, a toddler should be given five ounces of warm milk.

FALSE. Milk has little or no effect and will neither help nor harm. If the child vomits, milk may increase the risk of aspiration.

FILL IN THE BLANK

The ______________ impulse is the most reliable in assessing cardiac activity. (apical)

More True or False

The heart rate of a client with acute myocardial infarction reaches 168. The nurse should first check the client's magnesium and potassium levels.
FALSE. The nurse should first directly assess the client, not check their chart.

Placenta previa and abruptio placenta are the primary causes of antepartum third trimester bleeding.
TRUE.

When a unit of blood is removed from a refrigerator, it must be transfused within 4 hours.
TRUE.

A client with a newly inserted chest tube, experiences fluctuations in the waterseal chamber. This indicates an air leak.
FALSE. Fluctuations indicate expected fluid movement with respiration. Absence of fluctuations would indicate incorrect tube placement or problems with the chest drainage system.

Common chromosal disorders

1. Trisomy 21 (Down syndrome)

Characteristics:

• Oblique eye fissures
• Muscle hypotonia (poor muscle tone)
• Flat nasal bridge
• Single palmar fold (also known as a simian crease)
• Protruding tongue (due to small oral cavity, and an enlarged tongue near the tonsils)
• Short neck
• White spots on the iris known as Brushfield spots
• Most individuals with Down syndrome have mental retardation

2. Trisomy 13 (Patau's syndrome)

Characteristics: Most cases of Patau's syndrome result from trisomy 13, which means each cell in the body has three copies of chromosome 13 instead of the usual two copies.

• Mental & motor retardation
• Polydactyly (extra digits)
• Low- set ears
• Holoprosencephaly (failure of the forebrain to divide properly)
• Heart defects
• Structural eye defects
• Cleft lip

Loumarie Obe- NCLEX-RN Passer

Another congratulations to Loumarie for recently passing NCLEX-RN. She took her exam in Hongkong in June 7. Sorry for a late posting. Hope to see you soon in the US.

Ma Cecilia Catacutan- NCLEX-RN Passer

Congratulations goes to Ma. Cecilia Catacutan for passing the NCLEX-RN exam in June. She took the exam in June 7 in Hongkong. Proud of your success.