All NCLEX-PN Resources
Example Questions
Example Question #11 : Procedures And Care
Abdominal rigidity and decreased bowel sounds would raise your suspicions of what condition?
Peritonitis
Ulcerative colitis
Cholecystitis
Cystitis
Peritonitis
Abdominal rigidity and decreased bowel sounds are classic signs of peritontis. In addition, the patient will often want to lie very still, as any motion often increases pain. Cystitis, ulcerative colitis, and cholecystitis all may cause significant abdominal tenderness but would not generally result in rigidity or decreased bowel sounds.
Example Question #681 : Nclex
Why are blind finger-sweeps not recommended in infants with foreign objects in their oral cavities or airways?
They may injure the oral cavity
They may force the object in deeper
They may trigger a gasping reflex
They may trigger a vomiting reflex
They may force the object in deeper
Blind finger sweeps are not recommended in an infant with airway restriction due to a foreign object because they may inadvertently force the object deeper into the airway. A finger sweep should only be used if the object can be visualized. Injury to the oral cavity would not be a primary concern in the case of airway restriction, and a finger sweep would not be expected to trigger either gasping or vomiting in an infant.
Example Question #21 : Procedures And Care
All of the following are forms of shock except __________.
All of these are forms of shock.
hypovolemic
cardiogenic
anaphylactic
All of these are forms of shock.
The four main categories of shock are as follows:
- Cardiogenic: Sudden inability of the heart to pump sufficient blood to the body, most commonly due to acute myocardial infarction.
- Hypovolemic: Due to loss of fluids or hemorrhage.
- Septic: Also known as endotoxic shock. Dangerously low blood pressure as the result of systemic inflammatory response to infection.
- Anaphylactic: Systemic inflammatory response to an allergen.
Example Question #21 : Procedures And Care
What is the normal range for hemoglobin levels in an adult female?
The normal range for hemoglobin in an adult female is . Hemoglobin levels above that range may be indicative of chronic low blood oxygen, while lower levels of hemoglobin are seen in anemia.
Example Question #22 : Procedures And Care
What is the normal range for hemoglobin levels in an adult male?
The normal range for hemoglobin levels in an adult male is . Hemoglobin levels above that range may be indicative of chronic low blood oxygen, while lower levels of hemoglobin are seen in anemia.
Example Question #23 : Procedures And Care
What should you expect to hear when percussing the seventh intercostal space along the right midclavicular line?
Resonance
Dullness
Tympany
Hyper resonance
Dullness
When percussing the seventh intercostal space along the right midclavicular line, you should expect to hear a dull note, as this is directly over the solid mass of the liver.
The border of the liver can be found by percussing in a descending line along the intercostal spaces of the right midclavicular line, starting at the clavicle. The superior border of the liver can be measured at the point where percussion transforms from resonant or hyperresonant (indicating the air-filled lung) to dull (indicating the solid mass of the liver).
Example Question #24 : Procedures And Care
On palpating the abdominal aorta, the diameter of the aorta is measured at 3cm. This indicates an abdominal aorta that is __________.
Significantly enlarged and at risk for rupture
Normal size
Narrowed or constricted
Slightly enlarged
Normal size
A healthy and normal abdominal aorta will measure between 2.5-3cm in diameter. An abdominal aorta over 3cm and under 5cm in diameter is considered to be enlarged, and surgery to prevent abdominal aortic aneurism is generally performed on abdominal aortas that surpass 5cm in diameter in females or 5.5cm in diameter in males.
Example Question #25 : Procedures And Care
A patient reports to urgent care for colicky pain in the upper right quadrant that they rate as a seven out of ten. The night before they ate a fatty meal with two glasses of wine. Which of the following tests would help you asses for cholecystitis?
Mc Burney's point
Murphy's sign
Rovsing's sign
Psoas sign
Murphy's sign
A positive Murphy's sign is an indication of cholecystitis, or gallbladder inflammation. Testing for Murphy's sign is performed during an abdominal exam by asking the patient to breathe out slowly while the fingers of the examiner are slid under the right costal margin and held in place with firm pressure. The patient is then asked to inhale, which forces the abdominal contents upward. Murphy's sign is considered positive if the patient winces or flinches when breathing in, due to pain when the inflamed gallbladder comes in contact with the examiner's fingertips.
Rovsing's sign, psoas sign, and McBurney's point are all tests for appendicitis.
Example Question #26 : Procedures And Care
When testing for the strength of the left biceps brachii muscle, a patient is found to be able to move freely against gravity, but is unable to flex against very gentle resistance by the examiner. What grade of muscle strength should their bicep be assigned?
In this case, the patient is able to move their biceps brachii against gravity, but they are unable to move against gentle resistance by the examiner. This means the muscle strength should be graded at .
The muscle strength grade is as follows:
: no contraction
: muscle contraction, but no movement
: movement with gravity, but not against gravity
: movement against gravity, but not against resistance
: movement against mild resistance by the examiner
: normal muscle strength
Example Question #27 : Procedures And Care
What is the reference range for normal potassium levels?
The range for normal potassium levels in blood is . Anything above that (hyperkalemia) or below that range (hypokalemia) is considered abnormal.
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