Online Practice Test 34

Your Results for: "NCLEX® Review "

Print this page

Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 34 > NCLEX® Review Date/Time Submitted: July 21, 2012 at 3:11 PM (UTC/GMT)

Summary of Results 80% Correct of 10 Scored items: 8 Correct:  80% 2 Incorrect:  20% More information about scoring

1.		While preparing the client for a colonoscopy, the nurse's responsibilities include: Your Answer: Instructing the client about the bowel preparation prior to the test
		Objective: Describe the nurse's role for each of the phases involved in diagnostic testing. Rationale: The nurse is responsible for instructing the client about the bowel preparation prior to the test. Answers 1, 3, 4 are the physician's responsibility. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Decide what is the best action for client and situation
2.		A certified nursing assistant is collecting a 24-hour urine specimen from a client. Which statement by the assistant indicates that the specimen collection will need to be restarted? Your Answer: (blank)
3.		A client is admitted with gastrointestinal bleeding. One of the earliest and most important blood tests completed will be: Your Answer: Complete Blood Count
		Objective: Explain the rationale for the collection of each type of specimen. Rationale: Since bleeding is the priority concern, lab values that provide information about the amount of blood loss will be the ones with the most value. Complete Blood Count is the important test to be completed. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		A client is to obtain a clean-catch urine specimen. Which statement by the client demonstrates a lack of understanding regarding the procedure? Your Answer: "Urinate into the cup as soon as I start to go."
		Objective: Compare and contrast the different types of urine specimens. Rationale: All of the steps are correct except for the one in Answer 2. The initial stream of urine contains bacteria from the distal urethra and urinary meatus, so it should be discarded as contaminated. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		The nurse is having difficulty obtaining a capillary blood sample from a client's finger to measure blood glucose using a blood glucose monitor. Which procedure will increase the blood flow to the area to ensure an adequate specimen? Your Answer: Wrap the finger in a warm cloth for 30-60 seconds.
		Objective: Discuss the nursing responsibilities for specimen collection. Rationale: The hand is lowered to increase venous flow. The finger is pierced lateral to the middle of the pad perpendicular to the skin surface. State the rationale why not the 45 degree angle and what is the reason for the warm cloth for 30-60 secs? Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		A client has a streptococcal throat infection. The White Blood Cell count is elevated. When looking at the differential, the nurse expects which type of white blood cell to be elevated? Your Answer: Lymphocytes Correct Answer: Neutrophils
		Objective: Explain the rationale for the collection of each type of specimen. Rationale: When a client has a streptococcal infection, Neutrophilcount is elevated. Eosinophil count is elevated in allergic reactions. Monocyte count is elevated in chronic inflammatory disorders. Lymphocyte count is elevated in viral infections. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		A client is to have a thoracentesis in order to aspirate pleural fluid for biopsy. In order to prepare the client for the procedure, the nurse best positions the client in which manner? Your Answer: Sitting on the side of the bed, leaning over a bedside table with a pillow on it, arms overhead supported by the pillow.
		Objective: Describe the nurse's role in caring for clients undergoing aspiration/biopsy procedures. Rationale: The nurse should position the client sitting on the side of the bed, leaning over a bedside table with a pillow on it, arms overhead supported by the pillow. Answers 1, 2, and 3 do not allow optimal access to the intercostal spaces where dependent fluid can best be drained. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		A nurse cares for a client following a liver biopsy. Which nursing care plan reflects proper care? Your Answer: Position to a right side-lying position, with a pillow under the biopsy site
		Objective: Describe the nurse's role in caring for clients undergoing aspiration/biopsy procedures. Rationale: Positioning the client in a right side-lying position with a pillow under the biopsy site reflects proper care. Answer 1 does not permit the necessary pressure applied to the biopsy site. Bed rest is only required for several hours. There is no reason to do neurological checks. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		A client reports an iodine allergy. This information is most significant if the client is scheduled for which exam? Your Answer: Intravenous Pyelogram
		Objective: Describe visualization procedures that may be used for the client with gastrointestinal, urinary, and cardiopulmonary alterations. Rationale: Iodine is present in the dye used in some imaging x-rays and scans. Iodine is used in Intravenous Pyelogram. Iodine is not used in Lung Scan, Computed Tomography, or Magnetic Resonance Imaging. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		The nurse is asked to obtain an arterial blood gas from a client. The nurse knows which sites can be used to obtain the blood sample? (Select all that apply.) Your Answer: Brachial artery Radial artery
		Objective: Describe the nurse's role for each of the phases involved in diagnostic testing. Rationale: Arterial blood gases, drawn by a specialty nurse, can be obtained from femoral, radial and brachial arteries. Nursing Process: Implementing Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge of blood tests.