All NCLEX Resources
Example Questions
Example Question #11 : Causes And Treatments Of Other Conditions
You are the nurse taking care of a 15-year old male wrestler at a primary care clinic who complains of a raised, red, ring-like rash with central clearing on his lower back that he states is very itchy. Which of the following is the most likely diagnosis?
Tinea pedis
Tinea cruris
Tinea corporis
Tinea capitis
Tinea manuum
Tinea corporis
The correct answer is "Tinea corporis," which is also known colloquially as "ringworm."
The described case is a classic case for tinea corporis, in which the patient is a young athlete, often a wrestler (due to the frequent skin-to-skin or skin-to-mat contact in damp, sweaty environments), who presents with an itchy, red, ring-like rash that exhibits central clearing. The word "corporis" qualifies that the fungal dermatophyte infection ("tinea") is specifically located on the body/torso/back region.
The other choices are incorrect as tinea capitis is a fungal infection of the scalp, tinea pedis is a fungal infection of the feet, tinea cruris is a fungal infection of the groin ("jock itch"), and tinea manuum is a fungal infection of the hands.
Example Question #961 : Nclex
You are a nurse in an emergency department and a patient presents with a 5 cm by 6 cm abscess on the dorsal aspect of his left hand. The hand is very painful, but he has full range of motion, and no sensory deficits. He is afebrile and has no systemic or localized symptoms aside from the abscess. Which of the following is the most appropriate next step in management?
Incision and drainage of the abscess
Amputate the affected hand at the wrist
Apply topical antibiotic to the abscess
Prescribe oral antibiotics without draining the abscess
Inject steroid into the abscess
Incision and drainage of the abscess
The correct answer is "incision and drainage of the abscess." This is the correct answer, because an abscess, by definition, is a walled off collection of pus and bacteria, that is typically impenetrable to topical or systemic antibiotics. The only way to truly resolve an abscess is to incise and drain it, such that the walled off material can be expelled, and the pressure and pain can be relieved. Further, the material should be sent for culture so that the patient can be placed on appropriate antibiotics if the physician deems it necessary for post-drainage care.
The other choices are incorrect. Surgical amputation of the affected hand would be a drastic measure for a localized abscess that is not otherwise causing limb ischemia or necrosis. Incision and drainage is a much more reasonable first step. Injecting a steroid into the abscess would be a potentially dangerous intervention as steroids decrease the body's immune response to infection, and as such, could increase the bacterial load within the abscess, allowing it to expand and become more serious. As mentioned earlier, topical and oral antibiotics would likely be impenetrable to the abscess and would be inappropriate first steps when the option of incision and drainage exists.
Example Question #961 : Nclex
Which of the following causes microcytic hypochromic anemia?
Thalassemia
Chronic lead exposure
All of these
Iron deficiency
All of these
All of these result in microcytic hypochromic anemia, which is a type of anemia characterized by small red blood cells called microcytes that contain lower concentrations of hemoglobin than healthy red blood cells.
Example Question #31 : Other Conditions
What is the most significant risk of hyperkalemia (elevated serum potassium)?
Respiratory depression
Weakness, tremors, and cramps
Sudden cardiac death
Rhabdomyolysis
Sudden cardiac death
Mild hyperkalemia may be asymptomatic, but a significant rise if potassium levels above normal can cause fatal heart arrhythmia, resulting in sudden cardiac death.
Weakness, tremors, and cramps are common symptoms of mild hypokalemia (depressed potassium levels), while respiratory depression and rhabdomyolysis can occur with severe cases of hypokalemia.
Example Question #152 : Conditions And Treatments
Cranial nerves are important to assess to determine the neurological status of a patient in regards to possible deficits.
All the following cranial nerves should be assessed for proper eye movement and function, including vision except __________.
cranial nerve IV
cranial nerve III
cranial nerve II
cranial nerve VI
cranial nerve VIII
cranial nerve VIII
Cranial nerve VIII is the vestibulocochlear nerve responsible for hearing and balance. It does not control the eye.
Cranial nerve II is the optic nerve: control vision and acuity; cranial nerve III is the oculomotor nerve, which controls eye movement, pupil reflex, eyelid, and proprioception. Cranial nerve IV is the trochlear nerve, which controls extraocular eye movement as does cranial nerve VI, the abducens.
Example Question #961 : Nclex
A 25-year-old male client presents to the emergency department complaining of severe headache, nausea, vomiting and nuchal rigidity. Nurse recognizes this patient may be experiencing some form of meningitis.
Which test is the most appropriate to determine if this patient is experiencing the bacterial form of meningitis?
X-ray of the spine
Cerebral spinal fluid analysis showing elevated protein levels
Blood culture positive for Streptococcus pneumoniae
Computerized tomography scan of the head to assess for increased intracranial pressure
Cerebral spinal fluid analysis to confirm elevated glucose levels
Cerebral spinal fluid analysis showing elevated protein levels
Cerebral spinal fluid analysis is the best test - elevated protein, decreased glucose levels, with high levels of PMN's (polymorphonuclear cells) are indicative of bacterial meningitis, which is a medical emergency. Blood culture is appropriate but will not yield quick results, computer tomography (CT) scan is also helpful but not priority.
Example Question #961 : Nclex
A patient is severely dehydrated and is being given IV normal saline at a rate of 160 cc per hour. Which of the following laboratory values would you expect to be abnormally elevated in this patient?
Creatinine
Glucose
White blood count
Mast cell count
Hemoglobin
Creatinine
In a dehydrated patient, the BUN and creatinine is often elevated. Creatinine is a marker of kidney function. Elevations in creatinine from baseline are considered kidney injury. Dehydration is decreased circulatory volume to the kidneys. This will result in an elevation of creatinine (and BUN) on laboratory testing. Rehydration therapy with IV fluids will often correct this abnormality.
Example Question #962 : Nclex
What is the medical term for the artificial mechanism by which fluid and toxic solutes are removed from circulation when the kidneys are unable to function?
Dialysis
Bronchoscopy
BiPAP
CPAP
Dialysis
Dialysis is an artificial mechanism used to filter the blood when the kidneys are unable to do so. The two major types are hemodialysis and peritoneal dialysis. Dialysis is usually considered in the treatment of chronic kidney disease and toxic overdoses. BiPAP and CPAP are used to help with respirations. Bronchoscopy is used to explore the lung space.