nclex questions

Davis Edge Question of the Week #30

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Question:
The nurse is reviewing the urinalysis reports of a client. What does the nurse conclude from these findings?

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Question Options:
1.) The client has malaria.
2.) The client has proteinuria.
3.) The client has dehydration.
4.) The client has nephrolithiasis.

Correct Option/Answers: 1

Rationale:
Option 1: Urobilinogen levels greater than 1 mg/dL indicate malaria. Therefore, a urobilinogen value of 1.5 mg/dL indicates malaria in the client.
Option 2: Protein levels less than 20 mg/dL indicate normal findings; also, protein levels increase during proteinuria. Therefore, the client does not have proteinuria.
Option 3: The normal specific gravity of urine is in the range of 1.001–1.035. Increased urinary specific gravity indicates dehydration. As the client does not have increased urinary specific gravity, he or she does not have dehydration.
Option 4: Nephrolithiasis is characterized by hematuria. The normal red blood cell count in urine is less than 5/HPF. Therefore, a red blood cell count of 2/HPF does not indicate nephrolithiasis in the client.

Davis Edge Question of the Week #29

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Question:
The nurse is caring for clients with diabetes. After evaluating the nutritional status of the clients, which client does the nurse expect to be at risk of malnutrition?

29-nclex-q

Question Options:
1.) Client 1
2.) Client 2
3.) Client 3
4.) Client 4

Correct Option/Answers: 2

Rationale:
Option 1: The BMI of client 1 is 24.6, which indicates that the client 1 is of normal weight.
Option 2: The body mass index (BMI) is calculated by the formula, BMI = Weight in kilograms/(Height in meters) The BMI of the client 2 is 17.75, which is less than the normal and indicates underweight. Low BMI indicates malnutrition.
Option 3: By considering the weight and height, the BMI of client 3 is 21.32. This indicates that client 3 is of normal weight.
Option 4: The BMI of client 4 is 24.74, which indicates that client 4 is of normal weight.

Davis Edge Question of the Week #25

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Question:
Which documentation style is appropriate according to International System of Units (SI) rules of notation?

25-q-of-the-week

Question Options:
1.) A
2.) B
3.) C
4.) D

Correct Option/Answers: 4

Rationale:
Option 1: The unit symbol should be written in the singular form; therefore, it is inappropriate to document it as “8.5 mgs of medication.”
Option 2: The unit symbol should not be followed by a period unless it is the last word in a sentence; therefore, it is inappropriate to write as “5 mg. of medication.”
Option 3: There should be a space between the number and the unit symbol; therefore, “2mL IV injection” is inappropriate documentation.
Option 4: The documentation “5 mg of medication” recorded by student nurse D is correct notation according to the International System of Units (SI) rules of notation.

Davis Edge NCLEX Question of the Week #20

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For this week’s NCLEX Question of the Week…

Question:
The nurse is assessing the weight and height of 1-year-old children and comparing their current heights and weights to their birth weights and heights. Which child does the nurse expect to have proper growth and development?

nclex-q-20

Question Options:
1.) Child A
2.) Child B
3.) Child C
4.) Child D

Rationale:
Option 1: The child’s height is increased by only 0.6 foot and weight by only 9 lbs. The child who has adequate growth will have an increase of 1- foot in height and will triple the weight at birth after 1 year. However, the child has increased in height by 0.6 foot and the weight increase is 3lbs less than required which indicates inadequate development.

Option 2:From birth to 1 year, the weight of the child triples and the height increases by 1 foot if adequate nutrition and health are maintained. The child B’s weight tripled and height increased by 1 foot, therefore, child B is said to have appropriate growth and development.

Option 3:The child’s height is increased by only 0.6 foot and weight by only 10 lbs after a year and is less than the expected height and weight for a one-year-old child. Therefore, the child C has inadequate development.

Option 4: The child’s height is increased by 0.6 foot and weight by only 12 lbs compared to a height increase of 1 foot and weight that has tripled. This indicates that the child has inadequate development.

Davis Edge NCLEX Question of the Week #18

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Question
What is the reason behind possible glucose intolerance in an aging client?

Question Options:
1.) Decreased lipase and reserve of the pancreas
2.) Decreased number and size of the liver cells
3.) Decreased villae, enzymes, and motility in the small intestine
4.) Decreased protein synthesis of the liver

Correct Option(s): 1

Rationale
Option 1: Decreased lipase and reserve of the pancreas is responsible for possible glucose intolerance in an aging client.
Option 2: Decreased number and size of the liver cells in the aging client reduces metabolism of drugs and the ability to detoxify.
Option 3: Decreased villae, enzymes, and motility in the small intestine is responsible for decreased absorption of nutrients and fat-soluble vitamins in an aging client.
Option 4: Reduced protein synthesis of the liver in an aging client diminishes the metabolism of drugs and ability to detoxify.