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NCLEX Practice Test for Skin and Integumentary Diseases Part 2
1. Nurse Jay is performing wound care. Which of the following practices violates surgical asepsis?
a. Holding sterile objects above the waist
b. Considering a 1″ edge around the sterile field as being contaminated
c. Pouring solution onto a sterile field cloth
d. Opening the outermost flap of a sterile package away from the body
2. ... Continue Reading
NCLEX Practice Test for Skin and Integumentary Diseases Part 1 Answers and Rationale
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1. Answer A. When caring for a client with upper torso burns, the nurse’s primary goal is to maintain respiratory integrity. Therefore, option A should take the highest priority. Option B isn’t appropriate because burns aren’t a disease. Option C and D may be appropriate, but don’t command a higher priority than option A... Continue Reading
NCLEX Practice Test for Skin and Integumentary Diseases Part 1
1. When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority?
a. Ineffective airway clearance related to edema of the respiratory passages
b. Impaired physical mobility related to the disease process
c. Disturbed sleep pattern related to facility environment
d. Risk for infection... Continue Reading
Gastrointestinal Diseases NCLEX Review Questions Part 2 Answers and Rationale
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1. Answer D. Intestinal bacteria synthesize such nutritional substances as vitamin K, thiamine, riboflavin, vitamin B12, folic acid, biotin, and nicotinic acid. Therefore, antibiotic therapy may interfere with synthesis of these substances, including vitamin K. Intestinal bacteria don’t synthesize vitamins A, D, or E. ... Continue Reading
Gastrointestinal Diseases NCLEX Review Questions Part 2
1. During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with synthesis of which vitamin and may lead to hypoprothrombinemia?
a. vitamin A
b. vitamin D
c. vitamin E
d. vitamin K
2. When evaluating a male client for complications of acute pancreatitis, the... Continue Reading
Gastrointestinal Diseases NCLEX Review Questions Part 1 Answers and Rationale
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1. Answer C. The normal serum amylase level is 25 to 151 units/L. With chronic cases of pancreatitis, the rise in serum amylase levels usually does not exceed three times the normal value. In acute pancreatitis, the value may exceed five times the normal value. Options A and B are within normal limits. Option D is an extremely elevated level... Continue Reading
Gastrointestinal Diseases NCLEX Review Questions Part 1
1. Nurse Berlinda is assigned to a 41-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of:
a. 45 units/L
b. 100 units/L
c. 300 units/L
d. 500 units/L
2. A male client who is recovering from surgery has been advanced from... Continue Reading
Respiratory NCLEX Practice Test Part 2 Answers and Rationale
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1. Answer A. The therapeutic range for the serum theophylline level is 10 to 20 mcg/mL. If the level is below the therapeutic range, the client may experience frequent exacerbations of the disorder. Although all the options identify values within the therapeutic range, option A is the option that reflects a need for compliance with medication. ... Continue Reading
Respiratory NCLEX Practice Test Part 2
1. A male client who takes theophylline for chronic obstructive pulmonary disease is seen in the urgent care center for respiratory distress. Once the client is stabilized, the nurse begins discharge teaching. The nurse would be especially vigilant to include information about complying with medication therapy if the client’s baseline theophylline level was:
a. ... Continue Reading
Respiratory NCLEX Practice Test Part 1 Answers and Rationale
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1. Answer A. If a chest drainage system is disconnected, the nurse may place the end of the chest tube in a container of sterile saline or water to prevent air from entering the chest tube, thereby preventing negative respiratory pressure. The nurse should apply an occlusive dressing if the chest tube is pulled out — not if the system is... Continue Reading
Respiratory NCLEX Practice Test Part 1
1. The nurse is caring for a male client with a chest tube. If the chest drainage system is accidentally disconnected, what should the nurse plan to do?
a. Place the end of the chest tube in a container of sterile saline.
b. Apply an occlusive dressing and notify the physician.
c. Clamp the chest tube immediately.
d. Secure the chest tube with... Continue Reading
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