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Thursday, 11 September 2014

Lesson 36: ReMar Review NCLEX RN Practice Exam

1.       A 9 month old is placed on Fer-In-Sol an oral iron preparation. When teaching the parents about administering this medication the nurse should include which of the following instructions.

A.      Administer with breakfast once a day
B.      Administer with milk to help prevent staining of the teeth
C.      Administer between meals to help enhance absorption
D.      Do not administer with foods high in iron such as green leafy vegetables

2.       A 29 week old premature infant is diagnosed with respiratory distress syndrome. The physician orders surfactant to be given via the endotracheal tube. The mother asks the nurse why this medication is ordered. The best response by the nurse is:

A.      This medication will decrease HCO3 levels in the bloodstream
B.      This medication will prevent alveoli from collapsing
C.      This medication will increase the PaCO2 in the bloodstream
D.      This medication may require the patient to be on mechanical ventilation longer

3.       A 33 year old female has just given birth. The doctor order Hydralazine due to this patient’s diagnosis of cardiomyopathy. The nurse is aware the most common form of pregnancy related cardiomyopathy is which of the following?

A.      Restrictive
B.      Arrhythmogenic
C.      Dilated
D.      Hypertrophic

4.       A nurse is writing a care plan for a woman who suffered an ectopic pregnancy. Which of the following goals is most important to include in the plan of care after the patient has had a laparotomy?

A.      Fluid replacement
B.      Pain control
C.      Respiratory support
D.      Physical therapy

5.       A patient recently diagnosed with a left lower extremity deep vein thrombosis presents to the emergency room. The patient is complaining of chest pain, difficulty breathing, and shortness of breath. The nurse suspects a pulmonary embolism. What is the first nursing action?

A.      Administer oxygen and place patient in high fowler’s position
B.      Assess the client’s blood pressure and heart rate
C.      Call the physician immediately
D.      Administer a bolus of heparin to prevent further clots

6.       A nurse is ending her shift and has to assess her four clients. Which client should she see first?

A.      The client with intestinal bleeding complaining of vomiting
B.      The client with a right lobe brain tumor complaining of vomiting
C.      The client with pancreatic cancer who is receiving chemotherapy complaining of vomiting
D.      The client with a new left kidney transplant complaining of vomiting

7.       A nurse is beginning her shift in the emergency room and has to see four clients. Which is the priority patient?

A.      A client with no sensation and no pulse in the right leg
B.      A client with a knife wound to the chest
C.      A client actively bleeding from the nose after head trauma
D.      A client with a gunshot wound to the upper left extremity

8.       When assisting a client that is learning how to use a cane for the first time. The nurse should stand in which of the following positions?

A.      Approximately  two feet directly behind the client
B.      Approximately two feet from the client’s weak side
C.      Approximately one foot from the client’s strong side
D.      Approximately one foot slightly behind the client’s weak side


9.       A nurse is caring for an elderly client who needs new education concerning a medication. The nurse is aware of age related hearing changes. She knows the client may have lost the ability to hear which of the following sounds?

A.      Low pitched sounds
B.      High pitched sounds
C.      Slow sounds
D.      Rapid sounds

10.   A nurse is reading a client’s admission orders. He is aware the proper abbreviation for before meals is which of the following?

A.      A.C.
B.      P.C.
C.      B.C.
D.      O.C.

11.   A client is diagnosed with difficulty chewing. Which of the following diet is most appropriate?

A.      Low residual
B.      Liquid diet
C.      Mechanical soft
D.      Bland

12.   When transferring a client with right side weakness from a wheelchair to the bed. The nurse should stand on which side of the patient?

A.      The right side
B.      The left side
C.      In front of the client
D.      Behind the client


13.   A registered nurse has just delegated the task of applying hot therapy to the LVN/LPN. The registered nurse explains the hot water bottle is an example of:

A.      Local moist heat application
B.      Generalized moist heat application
C.      Local dry heat application
D.      Generalized dry heat application

14.   A registered nurse is teaching a nursing student how to do indwelling catheter care. Which of the following instructions should she include? Select all that apply.

A.      Wash hands before care begins
B.      Wash the catheter towards the meatus
C.      Dry the catheter in the direction away from the meatus
D.      Use a clean technique to obtain a specimen for culture and sensitivity

15.  A client with a brain tumor has a decreased amount of the antidiuretic hormone (ADH). The nurse anticipates the client will exhibit: 

A.      A low serum sodium level
B.      Hematuria
C.      Cullen’s sign
                    D.     Dry mucous membranes



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