nclex sample 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?

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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 #28

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Question:
The nurse is reviewing the red blood cells lab reports of several children who completed their treatment regimens to improve their anemia. Which child‘s condition is most improved due to the treatment?

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

Correct Option/Answers: 2

Rationale:
Option 1: Child 1 shows decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 2: The normal red cell lab values in children are:
Mean corpuscular volume: 79-95 µm3
Mean corpuscular hemoglobin: 25-3 pg/cell
Mean cell hemoglobin concentration: 31%-37% Hgb [g]/dl RBC
Reticulocyte count: 0.5%-1.5%
The red cell lab values of Child 2 are normal and indicate that the child has received effective treatment.
Option 3: The laboratory reports of Child 3 show decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 4: Child 4 has decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.

Davis Edge Question of the Week #26

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Question:
The registered nurse is evaluating a student nurse’s understanding of the components of the medication label. Which statement made by the student nurse indicates the need for further teaching?

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Question Options:
1.) “The generic name of the drug is ERY-TAB.”
2.) “The dosage form of the drug is delayed-release tablets.”
3.) “The drug dose per tablet is 333 mg.”
4.) “The tablet can be administered with or without meals.”

Correct Option/Answers: 1

Rationale:
Option 1: ERY-TAB is the trade name of the drug, whereas erythromycin is the generic name of the drug.
Option 2: The drug is available in the form of delayed-release tablets.
Option 3: Each tablet contains 333 mg of the drug.
Option 4: According to the special instructions on the medication label, the drug can be administered without regard to meals.

Davis Edge Question of the Week #23

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Question:
Which intervention of the new nurse when administering heparin to a client with venous thrombosis requires correction?

Question Options:
1.) Administering heparin into the umbilicus
2.) Avoiding massaging the site of administration
3.) Avoiding the administering of medication at the same site of injection repeatedly
4.) Administering heparin into the deep subcutaneous tissue of the abdomen

Correct Option/Answers: 1

Rationale:
Option 1: Administering heparin into the umbilicus increases the risk of bleeding. Therefore, the nurse should administer heparin at least 2 inches away from the umbilicus.
Option 2: Providing massage at the site of injection may cause tissue damage and may result in bruising. Therefore, the nurse should avoid massaging the site of administration.
Option 3: The nurse should avoid giving the injection at the same site repeatedly in order to prevent tissue damage and necrosis.
Option 4: Administering heparin into superficial skin layers results in skin irritation. Therefore, the nurse should administer heparin into the deep subcutaneous tissue of the abdomen.