Nclex International

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A nurse notes that a patient’s laboratory results show an acetylcholine receptor antibody (AChR) of 2.46 nmol/L. Based on this information, which clinical manifestation should the nurse assess this patient for?
1. Malignant hyperpyrexia
2. Myasthenia gravis
3. Multiple myeloma
4. Muscular dystrophy

A nurse is preparing a patient for a lumbar puncture to confirm the diagnosis of bacterial meningitis. Which position should the nurse ask the patient to assume for this test?
1. Knee-chest
2. Side-lying
3. Prone
4. Standing

A nurse observes that a patient admitted to the emergency department with decreased level of consciousness has urine with a very fruity odor. Based on this observation, which diagnosis should the nurse anticipate?
1. Alcohol withdrawal
2. Diabetic ketoacidosis (DKA)
3. Fibromyalgia
4. Lyme disease

A patient with pernicious anemia has a laboratory order to test for intrinsic factor (IF) antibodies. Which information should the scheduling nurse instruct the patient about?
1. Begin a bowel prep 24 hours prior to the examination.
2. Eliminate red meat from the diet for 72 hours before the test.
3. Take nothing by mouth for 12 hours before the test is to take place.
4. Withhold vitamin B12 for 2 weeks before the test is to take place
(FAD)

A patient with diabetes requires assessment of long-term glucose control. Which test would be most appropriate for this patient?
1. Glycated hemoglobin (Hgb)
2. Glucose
3. Glucose-6-phosphate dehydrogenase (G6PD)
4. Glucose tolerance test

(FADavis)

A 15-year-old is being treated in the emergency room for a broken left ankle, which is casted. Prior to discharge the nurse is to measure the client for crutches. What is the best way to-do this?
1.measure from 4 inches below the axilla to point 6 inches to the side of the big toe.
2.Measure from 2 inches below the axilla toe point 6 inches in front of the tip of the toe and 2 inches outside
3.Select crutches that are tall enough to force her to stand upright.
4.Measure from the axilla to the heels and subtract 1 inch

An adult has a fractured radius. Which assessment indicates the client does not have altered tissue perfusion related to injury.
1.Radial pulse pf 72 and strong on both sides.
2.Palpable pedal pulses equal in both feet.
3.Client is alert and oriented.
4.No complaints of pain

Implement Contact Precautions routinely for all patients infected with target MDROs and for patients that have been previously identified as being colonized with target MDROs (e.g., patients transferred from other units or facilities who are known to be colonized).

MDRO Management | Guidelines Library | Infection Control | CDC infection control, guidelines, recommendations, mdro, mrsa, vre, visa, vrsa, esbl

https://www.cdc.gov/hai/pdfs/containment/PPE-Nursing-Homes-H.pdf

www.cdc.gov

The nurse suspects extravasation after dobutamine infusion. After stopping the injection, what action she takes next?
1. apply a cold compress to the IV site
2. Apply a hot compress to the IV site
3. Elevate the affected extremity
4. Attempt to aspirate the residual drug

Please write down the answer under comments

Which statement by a patient with dumping syndrome should lead the nurse to determine that further dietary teaching is needed?
a. “I should eat bread and jam with every meal.”
b. “I should avoid drinking fluids with my meals.”
c. “I should eat smaller meals about six times a day.” d. “I need to lie down for 30 to 60 minutes after my meals.”

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Congratulations to Susan Job for passing Nclex RN.
May God bless you

A 20-year-old patient with a history of Crohn’s disease comes to the clinic with persistent diarrhea. What are characteristics of Crohn’s disease (select all that apply)?
a. Weight loss
b. Re**al bleeding
c. Abdominal pain
d. Toxic megacolon
e. Has segmented distribution
f. Involves the entire thickness of the bowel wall

2. Which nursing actions are indicated for a liver biopsy (select all that apply)?
a. Observe for white stools
b. Monitor for re**al bleeding
c. Monitor for internal bleeding
d. Position to right side after test
e. Ensure bowel preparation was done
f. Check coagulation status before test

Congratulations to Jagdeep Khaira for passing RN license exams.
All the best for your future🌸🌸🎉

https://www.linkedin.com/posts/dr-rajni-chaudhry-dnp-msn-bsn-34980a16_activity-7001652917950713856-6l3l?utm_source=share&utm_medium=member_desktop

Keynote speaker for international conference at Rome

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The nurse has determined that a client's IV infusion is infiltrated. The assessment finding that is mostly seen with an infiltrated IV would be-
1. reddened area
2.warmth along the vein
3.red stripe along the vein
4.a cool area near the infusion site

The more effective way to prevent health care associated infection is
1. proper disposal of used tissues
2. good hand washing technique
3. Isolation of infected clients
4. administration of appropriate vaccine

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Nclex style questions
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This week , we will be focusing on foundation of nursing

Which of the following is a correctly stated nursing diagnosis
1. strep throat related to bacteria
2. skin breakdown due to wet bed
3.Myocardial infarction related to ischemia of the muscles
4. Altered nutrition less than body requirement, related to difficult swallowing.