Posts Tagged 'nclex test bank'
by: Daisy Jane, RN View Questions 1. Answer: C. Mantoux test is read 48-72 hours after injection. 2. Answer: A. Mantoux tests are done intradermally. 3. Answer: D. Mantoux test is considered positive for Mycobacterium Tubercle Bacilli if the induration is 10 mm or more. For HIV positive clients, induration of 5mm is... Continue Reading
1. A Mantoux test signifies exposure to Mycobacterium Tubercle Bacilli. The test is read for how many hours after injection? a. 1 hour b. 12-24 hours c. 48-72 hours d. 2 hours 2. A nurse is about to perform a Mantoux test. The test is done by using which route? a. Intradermal b. Intramuscular c. Subcutaneous d. IM... Continue Reading
View Questions 1. Answer B. Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. The amount of returned fluid (1,200 ml) should correspond to the... Continue Reading
1. After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded? a. The urine in the drainage bag appears red to pink. b. The client reports bladder spasms and the urge to... Continue Reading
1. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect? a. Seizures b. Shivering c. Anxiety d. Chest pain 2. Nurse Tim is caring for a client diagnosed with bulimia. The most appropriate initial goal... Continue Reading
View Questions 1. Answer B. When the urethra is ruptured, a hematoma or collection of blood separates the two sections of urethra. This may feel like a boggy mass on rectal examination. Because of the rupture and hematoma, the prostate becomes high riding. A palpable prostate gland usually indicates a nonurethral injury. Absent sphincter tone would refer to a... Continue Reading
1. The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination? a. A low-riding prostate b. The presence of a boggy mass c. Absent sphincter tone d. A positive Hemoccult 2. When a female client with an indwelling urinary (Foley) catheter insists on walking to the... Continue Reading