Fundamentals Of Nursing NCLEX Quiz 55

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  • 1/10 Questions

    A nurse is caring for a client with diarrhea and dehydration. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to:

    • 36 mg/dL.
    • 27 mg/dL.
    • 18 mg/dL.
    • 6 mg/dL.
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Fundamentals Of Nursing NCLEX Quiz 55 - Quiz

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  • 2. 

    A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 10%. Based on the result, the nurse plans to teach the client about the importance of:

    • Maintaining the result.

    • Preventing hypoglycemia.

    • Preventing hyperglycemia.

    • Avoiding infection.

    Correct Answer
    A. Preventing hyperglycemia.
    Explanation
    Glycosylated hemoglobin A1c level of 8% higher indicates a poor diabetic control. Elevations indicate continued need for a teaching related to the prevention of hyperglycemic episodes.

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  • 3. 

    The nurse is reviewing the laboratory result of a client receiving digoxin (Lanoxin) and notes that the result is 2.5 ng/mL. The nurse plans to do which of the following?

    • Give the next dose.

    • Notify the physician.

    • Check the client’s pulse rate.

    • Increase the next dose as ordered.

    Correct Answer
    A. Notify the physician.
    Explanation
    The normal value therapeutic range for digoxin is 0.5 to 2 ng/mL. A level of 2.5 ng/mL indicates a toxicity. The nurse should immediately inform the physician. who may give further instructions about holding the next doses of digoxin.

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  • 4. 

    A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS?

    • Phosphorus level of 6 mg/dL.

    • Phosphorus level of 3 mg/dL.

    • Phosphorus level of 4 mg/dL.

    • Phosphorus level of 2 mg/dL.

    Correct Answer
    A. Phosphorus level of 6 mg/dL.
    Explanation
    Tumor lysis syndrome (TLS) is a potentially life-threatening metabolic disorder characterized by elevated phosphorus levels. The normal phosphorus is 2.5 to 4.5 mg/dL.

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  • 5. 

    The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)?

    • None. This is a normal calcium level.

    • Prolonged QT interval.

    • Shortened ST segment.

    • Widened T wave.

    Correct Answer
    A. Prolonged QT interval.
    Explanation
    The normal serum calcium level is 8.6 to 10 mg/dL. A serum calcium level lower than 8.6 mg/dL indicates hypocalcemia. Electrocardiographic changes that occur in a client with hypocalcemia include a prolonged ST or QT interval.Options C and D: A shortened ST segment and a widened T wave occur with hypercalcemia.

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  • 6. 

    The nurse is handling a client with chronic pancreatitis. Upon reviewing the client’s record, which of the following serum amylase level is to be expected?

    • 50 units/L.

    • 150 units/L.

    • 350 units/L.

    • 650 units/L.

    Correct Answer
    A. 350 units/L.
    Explanation
    The normal serum amylase level is 25 to 151 unit/L. Clients with chronic pancreatitis have an increased level of serum amylase which does not exceed three times the normal value.Options A and B are within the normal values.Option D is seen with acute pancreatitis since the value may exceed five times the normal value.

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  • 7. 

    A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse evaluates the effectiveness of the diet if the total protein level is which of the following values?

    • 6.9 g/dL.

    • 4.9 g/dL.

    • 2.9 g/dL.

    • 0.9 g/dL.

    Correct Answer
    A. 6.9 g/dL.
    Explanation
    The normal value for total serum protein is 6 to 8 g/dL. The client with liver cirrhosis has low total protein levels secondary to inadequate nutrition.Options B. C. and D are abnormal values.

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  • 8. 

    A nurse is reviewing the complete blood count (CBC) of a child who has been diagnosed with idiopathic thrombocytopenic purpura. Which of the following laboratory result should the nurse report immediately to the physician?

    • Platelet count of 30.000/mm3.

    • Hemoglobin level of 7.5 g/dL.

    • Reticulocyte count of 6.5%.

    • Eosinophil count of 700 cells/mm3.

    Correct Answer
    A. Hemoglobin level of 7.5 g/dL.
    Explanation
    The low hemoglobin level indicates that the client has an active bleeding. and immediate actions such as additional diagnostic exam and blood transfusions can be suggested.Options A. C. and D: Decreased platelet count. increased reticulocyte and increased eosinophil count are expected in a child with idiopathic thrombocytopenic purpura.

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  • 9. 

    When providing care for a female client with Addison disease, the nurse should be alert for which of the following laboratory value?

    • Potassium level of 3.2 mEq/L.

    • Calcium level of 3.3 mEq/L.

    • Sodium level of 150 mg/dL.

    • Hematocrit level of 25%.

    Correct Answer
    A. Hematocrit level of 25%.
    Explanation
    A client with Addison’s disease is at risk for anemia. The normal hematocrit level of a female adult is 35% to 45%. A client with anemia has a low hematocrit level.Options A and B: Client with Addison’s disease have an increased potassium and calcium level.Option C: Client with Addison’s disease have a low sodium level.

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  • 10. 

    A female client went to the clinic with a creatine clearance of 200 mL/min. Which of the following condition of the client can cause the increased level of this test?

    • Renal disease.

    • Dehydration.

    • Congestive heart failure.

    • History of high dietary protein intake.

    Correct Answer
    A. History of high dietary protein intake.
    Explanation
    The normal creatine clearance for a female is 88 to 128 ml/min. An increased creatinine clearance is often referred to as hyperfiltration and is most commonly seen during pregnancy or in clients with a large dietary protein intake.Options A. B. and C are seen with a decreased creatinine clearance.

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  • Jun 12, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 02, 2017
    Quiz Created by
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