NCLEX-RN Question 9 (plus 9 more posts)

NCLEX-RN Question 9
NCLEX-RN Question 8
NCLEX-RN Question 7
NCLEX-RN Question 6
NCLEX-RN Question 5
NCLEX-RN Question 4
NCLEX-RN Question 3
NCLEX-RN Question 2
NCLEX-RN Question 1
AHA 2010 Guidelines for CPR and Emergency Cardiovascular Care (ECC)

Posted: 19 Oct 2010 11:07 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the following findings would be the indicator of the severity of a patient’s pain

A. The patient states that his pain is a nine on the pain intensity scale
B. The patient’s blood pressure is 160/88 and pulse is 80.
C. The patient is grimacing and tensing his muscles
D. The patient is moaning and crying

Correct Answer: A
The person with the pain is the expert. Pain intensity can be measured on a one to 10 scale and is an excellent measurement if the patient is able to use such a scale. Since the patient has reported his pain is a nine on this scale, this would be the best indicator of the severity of this pain.

NCLEX-RN Question 8

Posted: 19 Oct 2010 11:05 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the follwoing instruction should a nurse provide to a patient who has diabetes and hypertrophic lipodystrophy?

A. Rotate insulin injection sites
B. Inject insulin at the edge of the affected area
C. Withhold injection of insulin until the area heals
D. Use a longer needle to administer the insulin

Correct Answer: A
Hypertrophic lipodystrophy occurs when the same injection sites are used frequently. The patient should rotate insulin injection sites and avoid using the affected area for six months. This will allow the thickened subcutaneous tissue to regress.

NCLEX-RN Question 7

Posted: 19 Oct 2010 11:03 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: The physician writes a “DNR” order on a patient’s chart. The nurse should understand that DNR stands for

A. Dopamine and nitroglycerin recombination
B. Diagnostic neurological radiation
C. Do not resuscitate
D. Dependent nitrogen re-uptake

Correct Answer: C
DNR is the medically acceptable abbreviation for “do not resuscitate.” A DNR order is written by the physician after discussion with the patient or family regarding withholding resuscitative measure such as CPR…

NCLEX-RN Question 6

Posted: 19 Oct 2010 11:00 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: A patient experiences difficulty falling asleep. Which of the following drinks should the nurse offer to the patient at bedtime?

A. A cup of coffee
B. A glass of wine
C. A glass of milk
D. A can of soda

Correct Answer: C
As long as there are no medical contraindications, a glass of milk would be the best drink to offer a patient who is having difficulty falling asleep. The dietary amino acid L-tryptophan found in milk is believed to aid in the induction of sleep. Milk also has a good nutritional value, unlike the other choices.

NCLEX-RN Question 5

Posted: 19 Oct 2010 10:58 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the following psychiatric disturbances are most common among the elderly?

A. Depression
B. Anxiety
C. Bipolar disorders
D. Personality disorders

Correct Answer: A
The most common psychiatric disturbances in the elderly population are depression and dementia. Depression is the most common affective psychiatric disorder that occurs after the middle years.

NCLEX-RN Question 4

Posted: 19 Oct 2010 10:56 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the following behaviors by a 36-month-old child supports a nursing diagnosis of growth and development, altered?

A. Does not link syllables together
B. Uses pointing to communicate
C. Stutters when speaking
D. Often repeats and hesitates

Correct Answer: A
According to the Denver Developmental Screening Test II-revised (DDST-R) 50% of children combine syllables by the age of nine months and 90% do so by the age of 10 months. Almost all children combine words by the age of 24 months. A 36-month-old child who does not link syllables together is exhibiting an alteration in normal growth and development.

NCLEX-RN Question 3

Posted: 19 Oct 2010 10:54 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the following neuromuscular assessments would the nurse expect to find in a healthy term infant?

A. Absent stepping reflex
B. Asymmetrical Moro reflex
C. Positive Babinski reflex
D. Unilateral grasp reflex

Correct Answer: C
A positive Babinski reflex is a normal finding in a newborn. It does disappear by the first year of life. If on examination, the Babinski reflex is absent, it is significant and should be followed up with neurology consult.

NCLEX-RN Question 2

Posted: 19 Oct 2010 10:51 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: A patient who has a history of being sexually abused is most at risk for developing which of the following disorders?

A. Attention deficit hyperactivity
B. Munchausen syndrome
C. Bipolar disorder
D. Dissociative reaction

Correct Answer: D
A predisposing factor for a dissociative reaction is a set of traumatic experiences that overwhelm the patient’s capacity to cope. These experiences usually take the form of severe physical, sexual or psychological abuse.

NCLEX-RN Question 1

Posted: 19 Oct 2010 10:41 PM PDT

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: A patient is prescribed chlorpropamide (Diabinese). The nurse should notify the physician if the patient reports being allergic to

A. Aspirin
B. Penicillin
C. Iodine
D. Sulfur

Correct Answer: D
Diabinese is a sulfonamide, a sulfur based drug, used to treat type 2 diabetes. It would be contraindicated in a patient with an allergy to sulfur. Therefore, the physician should be notified

AHA 2010 Guidelines for CPR and Emergency Cardiovascular Care (ECC)

Posted: 19 Oct 2010 12:28 AM PDT