SNA November Meeting NCLEX Questions
Quiz by Katelyn Malinis
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- Q1
Mr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30?
Septic arthritis
Traumatic arthritis
Intermittent arthritis
Gouty arthritis
30s - Q2
Mr. Domingo with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the following glands?
Adrenal cortex
Pancreas
Adrenal medulla
Parathyroid
30s - Q3
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
Infusing I.V. fluids rapidly as ordered.
Encouraging increased oral intake.
Restricting fluids.
Administering glucose-containing I.V. fluids as ordered.
30s - Q4
After receiving a dose of penicillin, a client develops dyspnea and hypotension. Nurse Celestina suspects the client is experiencing anaphylactic shock. What should the nurse do first?
Page an anesthesiologist immediately and prepare to intubate the client.
Administer epinephrine, as prescribed, and prepare to intubate the client if necessary.
Administer the antidote for penicillin, as prescribed, and continue to monitor the client’s vital signs.
Insert an indwelling urinary catheter and begin to infuse I.V. fluids as ordered
30s - Q5
The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?
Position the patient sitting up in bed before you feed her.
Check the patient’s gag and swallowing reflexes.
Feed the patient quickly because there are three more waiting.
Suction the patient’s secretions between bites of food.
30s - Q6
You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first?
Administer codeine 15 mg orally for the patient’s headache.
Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
30s - Q7
While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure?
Place the patient on a non-rebreather mask will the oxygen at 15 L/minute.
Administer lorazepam (Ativan) 1 mg IV.
Turn the patient to the side and protect the airway.
Assess level of consciousness during and immediately after the seizure.
30s - Q8
After receiving a change-of-shift report at 7:00 AM, which of these patients will you assess first?
A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching.
A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching.
A 59-year-old with Parkinson’s disease who will need a swallowing assessment before breakfast.
A 63-year-old with multiple sclerosis who has an oral temperature of 101.80 F and flank pain.
30s