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NCLEX-PN Exam Questions - Part 10
1. A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
A) calcium
B) magnesium
C) potassium
D) sodium chloride
2. Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
A) notify the physician of the drainage.
B) change the dressing.
C) reinforce the dressing.
D) apply an abdominal binder.
3. A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
A) Advil
B) Anasaid
C) Clinocil
D) Colace
4. A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
A) plantar fasciitis.
B) hallux valgus.
C) hammertoe.
D) Morton - s neuroma.
5. A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
A) sprain.
B) strain.
C) subluxation.
D) distoration.
A) calcium
B) magnesium
C) potassium
D) sodium chloride
2. Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
A) notify the physician of the drainage.
B) change the dressing.
C) reinforce the dressing.
D) apply an abdominal binder.
3. A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
A) Advil
B) Anasaid
C) Clinocil
D) Colace
4. A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
A) plantar fasciitis.
B) hallux valgus.
C) hammertoe.
D) Morton - s neuroma.
5. A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
A) sprain.
B) strain.
C) subluxation.
D) distoration.
1. Right Answer: D
Explanation: Duodenal intestinal fluid is rich in K+, NA+, and bicarbonate. Suctioning to remove excess fluids decreases the clients K+ and NA+ levels. Basic Care andComfort
2. Right Answer: C
Explanation: Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing. Basic Care and Comfort
3. Right Answer: D
Explanation: Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and easier to evacuate. Basic Care and Comfort
4. Right Answer: D
Explanation: Mortons neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay terms as abunion. Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot. Basic Care and Comfort
5. Right Answer: B
Explanation: A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles. Basic Care and Comfort
Explanation: Duodenal intestinal fluid is rich in K+, NA+, and bicarbonate. Suctioning to remove excess fluids decreases the clients K+ and NA+ levels. Basic Care andComfort
2. Right Answer: C
Explanation: Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing. Basic Care and Comfort
3. Right Answer: D
Explanation: Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and easier to evacuate. Basic Care and Comfort
4. Right Answer: D
Explanation: Mortons neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay terms as abunion. Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot. Basic Care and Comfort
5. Right Answer: B
Explanation: A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles. Basic Care and Comfort
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