Endocrine NCLEX
Vital Signs
NCLEX without MC
Critical Thinking
Mental Health
100
The nurse is caring for a patient with severe dehydration. After assessing the urine in the foley catheter what would the nurse expect the patients urine specific gravity to be?
A. 1.03
B. 1.015
C. 1.065
D. 1.025
What is C?
(The normal range of urine specific gravity is 1.003 to 1.035)
100
Convert 99.7F to celsius
What is 37.6
100
A client has an elevated blood sugar that requires an additional dose of regular insulin. The nurse knows the onset of action of regular insulin is
What is 30 minutes to 1 hour
100
A nurse is assigned to care for four clients. In planning rounds, which should the nurse assess first? a. pt. scheduled for chest x-ray b. pt. requiring daily dressing changes c. postoperative pt. preparing for discharge d. pt. with nasal oxygen with difficulty breathing last shift
What is D. The patient with nasal oxygen with difficulty breathing last shift
100
A client is admitted to the ER with reported Heroin intoxication. Which of the following signs is consistent with opiate use.
A. The clients pupils are dilated.
B. The clients speech is Rapid.
C. The clients BP is elevated
D. The clients Pupils are constricted.
What is D. What is The clients Pupils are constricted.
200
After running an ABG on a patient and reviewing the results which value should the nurse report to the physician.
A. Respiratory rate
B. PaCO2
C. HCO3
D. PaO2
What is C
200
List the five vital signs
What is BP, T, P, R, & pain
200
The PN is working in the ED. An unconscious client w/multiple lacs & injuries is brought in by EMS after a MVA. The first thing the nurse should do is....
What is maintain a patent airway (just airway)
200
Mrs. S is laying in bed. She is orthopneic & cannot reach her call bell. You enter her room, you visually see her dyspneic & pursed-lip breathing. What is your first action?
What is elevate the head of bed (or sit the patient up-right)
200
A client with a history of abusing amphetamines abruptly stops her drug use. The nurse should give priority to assessing the client for:
A. Depression and suicidal ideation
B. Diaphoresis and tachypnea
C. Muscle cramping and abdominal pain
D. Tachycardia and euphoric mood
What is A. What is Depression and suicidal ideation
300
A nurse is caring for a patient with diebetic ketoacidosis (DKA), the patient all of a sudden becomes confused, what action should the nurse take first?
A. Call the physician
B. Check the clients pupillary reaction
C. Check the clients glucose levels
D. Check the clients vital signs
What is C?
300
The parameters to diagnose orthostatic hypotension
What is drop in SBP <20mmHg & DBP <10mmHg
300
The nurse is reviewing labs from a client who had an MI. The PN should identify which cardiac enzyme can confirm that a MI occured 10 days ago?
What is Troponin
300
Mr. G just had a total hip replacement. He is sitting upright in his chair with his call bell, tray table, 2 pitchers of water and his breakfast tray. He crosses his legs and states he is doing fine. What do you do as the nurse?
What is re-educate on crossing legs (hip precautions)
300
A client with mania is busy investigating the unit and overseeing the activities of others. She is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
A. Serve high- calorie foods she can carry with her.
B. Encourage her appetite by sending out for her favorite foods.
C. Serve her small, attractively arranged portions
D. Allow her in the unit kitchen for extra food whenever she pleases.
What is A. What is serve high-calorie foods she can carry with her.
400
The nurse is caring for a client with cushings syndrome, the nurse knows that she will need to be prepared for what daily activity?
A. Make sure this patient is near the nurses station
B. Make sure that the scale is near the patients room
C. Linens need to be constantly changed, so make sure they are stocked
D. Medications need to be exactly on time
What is B
400
What is the medical terminology for low oxygen saturation, high temperature, high heart rate, high respiration rate, low blood pressure
What is hypoxia, febrile, tachycardia, tachypnea, hypotension?
400
You are working in a community that has just experienced a hurricane. You are trying to find housing and counseling for those who need it. Which level of preventions are you representing?
What is secondary prevention
400
Your patient has ESRD. She has a A-V Fistula. As the nurse, what do you do with it?
Check bruit (hear) & thrill (felt), monitor bleeding after HD.
400
The client is admitted, and an order for continuous observation is written. The nurse is aware of this order because he knows that hallucinogenic drugs differ from other drugs of abuse in their capacity to:
A. Create both stimulant and depressant effects
B. Induce states of altered perception
C. Produce severe respiratory depression
D. induce rapid physical dependence
What is B. Induce states of altered perception
500
5) Identify which of the following signs and symptoms that a client with hypothyroidism might have. Select all that apply.
A. Insomnia
B. Heat intolerance
C. Fatigue
D. Brittle nails
E. Weight gain
What is C, D, E?
500
These are measurements of the body's most basic function. They are useful in detecting or monitoring medical problems.
What are Vital signs?
500
To assess the intensity of a client's pain during a health history, the nurse could ask the client to do what?
Rate the pain on a scale of 1 to 10 Rationale: The nurse can identify the intensity of a client's pain using a pain scale.
WHATSUP
500
Mr. R is laying in bed and you can hear a high-pitched whistling sound. What is it called and what do you do next?
What is wheezing wheezing & assess the patient (need to get more data)
500
A depressed client is threatening to harm himself. Which statement made by the nurse indicates an understanding of the appropriate care of the suicidal client?
A. The nurse asks the client whether he has a plan
B. The nurse places the client in seclusion
C. The nurse administers a sedative
D. The nurse calls the family and asks them to come visit the client.
What is A. The nurse asks the client whether he has a plan