NCLEX : Standard Tests and Treatments
Study concepts, example questions & explanations for NCLEX
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Example Questions
Example Question #42 : Procedures And Care
A nurse is performing standard cardiac auscultation on a 47 year old male with normal heart size.
The nurse pauses to listen at the fifth intercostal space on the left mid-clavicular line. The nurse is evaluating which of the following?
The tricuspid valve
The pulmonic valve
The aortic valve
The mitral valve
The mitral valve
The fifth intercostal space on the left mid-clavicular line is the best location from which to evaluate the mitral valve. The other heart structures are paired with locations as follows:
- Aortic valve: the second intercostal space right of the sternum
- Pulmonic valve: the second intercostal space left of the sternum
- Tricuspid valve: the fourth intercostal space left of the sternum
Example Question #21 : Standard Tests And Treatments
A nurse administers one unit of packed red blood cells. 4-6 hours later, what change can be expected in the patient's hemoglobin levels?
5% decrease
3% increase
15% increase
20% increase
3% increase
A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells.
Example Question #45 : Procedures And Care
Which of the following has been removed from washed red blood cells?
All of these are correct
Platelets
Antibodies
Plasma
All of these are correct
Washed red blood cells are the product of blood that has been stripped of plasma, leukocytes, antibodies, cytokines, and platelets, in addition to any other blood proteins.
Example Question #43 : Procedures And Care
After thawing, fresh frozen plasma must be used within which of the following time frames?
Within 30 minutes (refrigeration is not advised)
Within 12 hours, if refrigerated
Within 24 hours, if refrigerated
Within two hours, if refrigerated
Within 24 hours, if refrigerated
Whenever possible, fresh frozen plasma should be transfused immediately (or as soon as possible) after thawing. However, if this is not possible, it may be refrigerated for as long as 24 hours after thawing.
Example Question #44 : Procedures And Care
Which of the following laboratory values is not reported in a basic metabolic profile (BMP).
Blood urea nitrogen (BUN)
Phosphorus
Potassium
Creatinine
Sodium
Phosphorus
A BMP is a commonly ordered lab value set on patients. It checks commonly reported electrolytes in the body. It is also known as a Chem-7. It looks at: Sodium, potassium, carbon dioxide, bicarbonate, blood urea nitrogen (BUN), creatinine, and glucose. Phosphorous is not included in this laboratory order, and must be checked separately.
Example Question #24 : Standard Tests And Treatments
A nurse is reviewing labs for a 63 year old female. Lipid testing revealed a total cholesterol of 
moderate risk
high risk
low risk
normal
moderate risk
A total cholesterol over 
Example Question #49 : Procedures And Care
Which of the following might be a sign of a transfusion reaction?
Myalgia, tingling, or numbness
Pallor or cyanosis
Urticaria, itching, or swelling
All of these are correct
All of these are correct
Common signs of transfusion reaction include urticaria, itching, or swelling, pallor or cyanosis, anxiety, and myalgia, tingling, or numbness, in addition to diaphoresis, tachycardia, headache, and gastrointestinal distress.
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