ER NCLEX fun

Question 1

You're treating a patient who takes Amiodarone PO for A-fib. Which of these is an adverse rxn?

Accepted Answer

Ataxia

Question 2

A nurse is caring for a patient with a suspected PUD causing a GI bleed The nurse would expect the stool to appear as:

Accepted Answer

Black and tarry

Question 3

Which answer below is not a symptom of DKA ?

Accepted Answer

High Sodium level

Question 4

You're giving a transfusion of whole blood, patient is developing circulatory overload. Signs & symtoms? (SATA)

Accepted Answer

Cough, Distended neck veins

Question 5

Patient with hx of chronic alcoholism with hematemesis. Nurse suspects esophageal varices. Prioritize intervention?

Accepted Answer

Give IVF to restore volume loss

Question 6

78yo client is admitted to ED with numbness/weakness of LT arm and slurred speech. Nursing priority intervention?

Accepted Answer

schedule STAT head CT

Question 7

56yo female is admitted with DKA. During first few hours of tx, which finding indicates tx plan for DKA is effective?

Accepted Answer

Anion Gap returns to normal range of <12

Question 8

What lab values correlate most with DKA?

Accepted Answer

Glucose >250

Question 9

16yo patient with CHF is taking Bumex. VS taken prior to admin of med. What are negative effects of tx? (SATA)

Accepted Answer

Monitor for postural hypotention, Observe for ototoxicity

Question 10

A nurse is caring for a client who presents with symptoms of UGIB. Which of the following findings would ask assess most

Accepted Answer

Coffee-ground emesis

Question 11

You're planning teaching a CHF patient with prescription for digoxin. Which signs of toxicity you can include teaching?

Accepted Answer

Yellow haloes around objects

Question 12

Which of the following factors has greatest influence on the degree of recovery of motor fxn in stroke patients?

Accepted Answer

Time elapsed since the onset of stroke symptoms

Question 13

You're educating a group of nursing students on LT side brain damage. Select ALL the s/sx noted with this type of stroke

Accepted Answer

Impaired math skills, Aphasia, Depression & anger

Question 14

You give 80mg Lasix IVP for patient with CHF exac. Medication is working when you see increase urine output within?

Accepted Answer

5-10min

Question 15

You are discharge teaching a patient with digoxin prescription. Which food should be avoid with this medication?

Accepted Answer

Black licorice

Question 16

DKA patient is being treated with insulin infusion and IVF. BG level went from 450 to 250mg/dL. Next action?

Accepted Answer

Begin to decrease the insulin infusion rate to prevent hypoglycemia

Question 17

As a home health nurse, you're taking care a 76yo patient with DM2 and CHF. Which observation should concern you most?

Accepted Answer

The patient says her ingrown toenail hurts alot

Question 18

What is the drug of choice for DKA?

Accepted Answer

Insulin

Question 19

Which of the following brain regions is MOST commonly associated with aphasia after a stroke?

Accepted Answer

Broca's area

Question 20

58yo patient is admitted with suspected lower GI bleed. Which of the following likely to be cause of bleeding?

Accepted Answer

Diverticulosis

Questions 20