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Question Dissection Podcast
Listen and learn how to answer NCLEX-style questions
Posts
- 1-10 of 10
thread posted May 15, 2012 by Andrea, NCSBN
A nurse is assigned to triage clients who are brought to the Emergency Department after a bus accident. Which client would be cared for first?
1. The 9 year-old with dilated pupils and cessation of breathing 10 minutes ago
2. The 18 year-old who is diaphoretic and tachycardic and has a board-like abdomen
3. The 35 year-old with an abrasion on the right anterior and lateral side of the chest
4. The 56 year-old with external rotation and shortening of the left lower extremity- thread posted May 1, 2012 by Andrea, NCSBN
The nurse has given discharge instructions to parents of a child who will be taking liquid phenytoin (Dilantin). Which statement made by the parents suggests that the teaching was effective?
- "We will call the health care provider if the child develops acne."
- "Our child should brush after every meal and floss daily."
- "We will shake the liquid before pouring it into a tablespoon."
- "When our child is seizure-free for six months, we can stop the medication."
- thread posted April 18, 2012 by Andrea, NCSBN
Which finding observed by a school nurse confirms the presence of pediculosis capitis in a group of students?
- Scratching the head more than usual
- Flakes evident on a student's shoulders
- Oval pattern of occipital hair loss
- Whitish oval specks sticking to the hair
- thread posted April 3, 2012 by Andrea, NCSBN
A six year-old child diagnosed with acute glomerulonephritis (AGN) presents with anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. How should a nurse respond to this request?
- "That's a good choice, and I know it is your favorite. You can have it today."
- "I'm sorry, that is not a good choice, but you could have pasta."
- "I know that is your favorite, but let me help you pick another lunch."
- "You cannot have the peanut butter until you are feeling better."
- thread posted March 19, 2012 by Andrea, NCSBN
The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?
- Solid foods are to be introduced one at a time beginning with cereal
- A variety of ground meat should be started early to provide iron
- Egg white is added early to increase protein intake
- Solid foods should be mixed with formula in a bottle
- thread posted March 7, 2012 by Andrea, NCSBN
The nurse observes a nursing assistant using antiseptic hand rub and rubbing the hands vigorously after leaving the room of a client diagnosed with clostridium difficile. Which action is most appropriate by the nurse?
- Praise the nursing assistant for proper use of antiseptic hand rub
- Tell the client to ask caregivers if they have washed their hands
- Ensure that visitors wash hands thoroughly before and after visiting
- Require the nursing assistant to wash hands again with soap and water
- thread posted February 21, 2012 by Andrea, NCSBN
During the administration of a narcotic analgesic IM injection, the registered nurse observes a student nurse begin to give the medication without first aspirating. What should the nurse do at this time?
- Ask the student in a calm voice: "What did you forget to do?”
- State Strongly: ”Stop. Tell me why aspiration is needed.”
- In a speaking tone of voice, express the problem: “You forgot to aspirate.”
- Walk up and whisper in the student’s ear “Stop. Aspirate. Then inject.”
- thread posted January 24, 2012 by Andrea, NCSBNThe nurse is assessing a client in the emergency department. Which statement suggests that the client is experiencing acute angina?
- My pain is deep in my chest behind my breast bone.
- When I sit up the pain gets worse.
- As I take a deep breath the pain gets worse.
- The pain is right here in my stomach area.
- thread posted January 9, 2012 by Andrea, NCSBN
A nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of heart disease. Which other finding is most likely to occur?
- Chest pain
- Peripheral edema
- Nail clubbing
- Fatigue
- thread posted November 28, 2011 by Andrea, NCSBN
An 80 year-old resident in an assisted living facility has a temperature of 100.6 degrees Fahrenheit. This is a sudden change from the resident's usual temperature. Which should a nurse assess first?
- Lung sounds
- Urine output
- Level of alertness
- Appetite