All NCLEX-PN Resources
Example Questions
Example Question #41 : Procedures And Care
Before administration, all plasma products must be tested for which of the following?
Rh compatibility
None of these are correct
Rh compatibility and ABO compatibility
ABO compatibility
Rh compatibility and ABO compatibility
Before administration, plasma products must be checked for ABO compatibility and Rh compatibility.
ABO blood type does not have to be an exact match, but blood types must be compatible. An Rh positive individual, for example, is compatible with either Rh negative blood or positive blood, while an Rh negative individual is only compatible with Rh negative blood.
Example Question #42 : Procedures And Care
A nurse is performing standard cardiac auscultation on a 47 year old male with normal heart size.
Where would the nurse listen to evaluate the pulmonic valve?
The first left intercostal space
The second left intercostal space
The second right intercostal space
The first right intercostal space
The second left intercostal space
The pulmonic valve can be auscultated to the left of the sternum at the second intercostal space. Auscultation at this space can aid in the identification of pulmonary murmurs such as pulmonary stenosis or regurgitation. The second right intercostal space is the location at which the nurse would be able to evaluate the aortic valve. The first intercostal space is not generally auscultated in a normal heart exam.
Example Question #43 : 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 aortic valve
The pulmonic valve
The mitral valve
The tricuspid 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 #44 : Ethics, Processing, And Care
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?
15% increase
20% increase
3% increase
5% decrease
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 #704 : Nclex
Which of the following has been removed from washed red blood cells?
All of these are correct
Antibodies
Platelets
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 #44 : 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 24 hours, if refrigerated
Within 12 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 #45 : Procedures And Care
Which of the following laboratory values is not reported in a basic metabolic profile (BMP).
Phosphorus
Blood urea nitrogen (BUN)
Creatinine
Sodium
Potassium
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 #46 : Procedures And Care
A nurse is reviewing labs for a 63 year old female. Lipid testing revealed a total cholesterol of . This patient's cholesterol level would be defined as __________.
high risk
moderate risk
low risk
normal
moderate risk
A total cholesterol over is considered a risk factor for cardiovascular disease. A total cholesterol level of is considered moderate risk, while a total cholesterol of over 240 mg/dL is considered a high risk for cardiovascular disease. This patient's total cholesterol is , which would place her in the moderate risk category.
Example Question #42 : Procedures And Care
Which of the following might be a sign of a transfusion reaction?
All of these are correct
Urticaria, itching, or swelling
Pallor or cyanosis
Myalgia, tingling, or numbness
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.
Example Question #711 : Nclex
Droplet precautions are designed to stop the spread of infections diseases that travel through droplets. These droplets may land on the mucosa of the nose or mouth after a host sneezes or coughs. Which of the following conditions does not require the use of droplet precautions?
Mumps
Rubella
Influenza
Pertussis
Varicella
Varicella
Varicella requires airborne precautions. Staff caring for patients with varicella should be immune. One's immunity to varicella can be confirmed by a blood test.
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