Nclex Review

1. Lomotil is given to the patient for ulcerative colitis. The nurse would see what therapeutic effect:

Abdominal girth has increased

Decrease in diarrhea

Increased abdominal tenderness

Absent bowel sounds

2. The diabetic client is preparing for discharge. During discharge teaching, the nurse assesses his ability to care for himself. What would need further follow up, if the patient stated:

I have trouble seeing

I can have a cat live with me

I can live by myself

I can drive myself to the doctor

3. A 50 year old diabetic is taking glyburide(diaBeta) who is diagnosis with diabetes type 2. Which statement needs further teaching:

I need to stay out of the sun as much as possible

I cannot eat steak every night for dinner

I often skip dinner when I don't feel hungry

I should keep a piece of candy at my bedside if my blood sugar drops

4. During a procedure under concious sedation, the patient's vital signs are blood pressure 132/76,pulse84,respirations14 and temp97. What is the first nursing priority:

Give a nitroglycerin tablet

Administer oxygen

Administer an analgesic

Discontinue the IV

5. The patient has hypomagnesemia. The nurse assesses deep tendon reflexes of the biceps, by:

Tapping the hammer at the antecubital space

Tapping the hammer on the patella

Squeezing the wrist

Applying the blood pressure cuff and inflating

6. Which statement reveals understanding of the teaching for taking Topamax:

I will take my medication before going to bed

I should eat fresh fruit everyday

I should drink 6 to 8 glasses of water daily

I should brush my teeth frequently

7. The patient has hypertension and is put on a low-sodium diet. which food should be avoided by the patient:

Peanut butter

American cheese

Swiss cheese

Pinto beans

8. A 35 year old is brought to the ER with metal in his eye. The nurse should:

Rinse with warm water

Place a saline soaked gauze over the affected eye

Cover both eyes with paper cups

Use a magnet to remove the object

9. The patient return with a nasogastric tube in place after a laryngectomy. The primary reason the nasogastric tube is placed is:

Decompress the stomach during suction

Prevent swelling and dysphagia

Prevent contamination of the suture line

Promote healing of the oral mucosa

10. A 70 year old has osteoporosis. The nurse knows that it is related to:

Lack of calcium

Hormonal imbalance

Genetic background

Lack of exercise

NCLEX Review