NR203 Test NCLEX Questions Flashcards

Terms Definitions
Myxedema, which includes fatigue, general weakness, and muscle cramps is a symptom of which endocrine disorder?
1. Hyperthyroidism
2. Hypothyroidism
3. Cushing's syndrome
4. Addison's disease
2 Hypothyroidism
4. A 56-year-old patient presents in triage with left-sided chest pain, diaphoresis, and dizziness. This patient should be prioritized into which category?
1. High urgent
2. Urgent
3. Non-urgent
4. Emergent
4. Emergent
25. Some manifestations are specific for certain endocrine disorders. Match the following manifestation with the appropriate endocrine disorder: Exophthalmos (bulging eyes).
A. Addison's disease
B. Cushing's disease
C. Diabetes mellitus
D. Hyperthyro
When hydrocortisone use is discontinued, the nurse must recognize the possibility of what side effect, if this drug is stopped abruptly?
1. Development of myxedema
2. Circulatory collapse
3. Development of Cushing's syndrome
4. Development of diabetes
Circulatory collapse
Some manifestations are specific for certain endocrine disorders. Match the following manifestation with the appropriate endocrine disorder: Constipation.
A. Addison's disease
B. Cushing's disease
C. Diabetes mellitus
D. Hyperthyroidism
E. Hypothyro
E. Hypothyroidism
2. During a disaster situation following a tornado a client is found to have a head injury with a decreased level of consiousness and is hypoxic. Which triage category would this client be assigned to?

A. Black

B. Green

C. Yellow

D. Red
D. Red
The emergency medical service (EMS) has transported a patient with severe chest pain. As the patient is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and no palpable pulse. Which task is appropriate to de
1. Chest compressions
22. Indicate whether the following sign or symptom is more closely associated with hyperthyroidism or hypothyroidism: Weight loss.
A. Hyperthyroidism
B. Hypothyroidism
A. Hyperthyroidism
__________ __________ and __________ can be effective analgesics in the management of neurologic pain syndromes.
Tricyclic antidepressants; anticonvulsants
You are preparing a child for IV conscious sedation prior to repair of a facial laceration. What infor¬mation should you immediately report to the physician?
1. The parent is unsure about the child's tetanus immunization status.
2. The child is upset a
Indicate whether the following sign or symptom is more closely associated with hyperthyroidism or hypothyroidism: Thick, brittle nails.
A. Hyperthyroidism
B. Hypothyroidism
B. Hypothyroidism
Turner’s sign (bruising in the flanks) may be seen with pancreatitis. It is caused by

A. Accumulation of Ascites

B. Alcohol ingestion

C. Hypocalcemia

D. Retroperitoneal Bleeding
D. Retroperitoneal Bleeding
What medication is frequently used for anxiety in the palliative care setting?
A. Dilaudid
B. Haloperidol
C. Benzodiazepine
D. Butyrophenone
C. Benzodiazepine
Clients with metastatic bone disease often require the combination of an opioid and a __________ __________ __________.
nonsteroidal anti-inflammatory drug
2. Which category of burn injury is the least common?
A. Chemical
B. Electrical
C. Thermal
D. Radiation
D. Radiation
Which is not recommended in wound care?
A. Neutralizing agents
B. Removal of smoldering clothing
C. Irrigation of chemical burns
D. All of the above are recommended
A. Neutralizing agents
Which is a common injury seen following a tornado?

A. Drownings

B. Insect bites

C. Gastrointestinal illnesses

D. Multiple fractures
D. Multiple fractures
2. Where does pain normally begin with a client with acute pancreatitis?
A. Upper epigastrium
B. Mid-epigastrium
C. Lower epigastrium
D. Lower colon
B. Mid-epigastrium
All of the following are disorders of gallstones except:
A. hypertension.
B. congenital malformations.
C. infection.
D. tumors.
A. hypertension.
What is the normal Amylase Level?

A. 50-150 u/L

B. 500-5000 u/L

C. 5-10 u/L

D. 0.5-1 u/L
A. 50-150 u/L
Serum T4 concentration is an effective indicator of thyroid function. How are serum T 4 levels affected in hyperthyroidism?
A. T4 levels increase.
B. T4 levels decrease.
C.T4 levels remain the same.
D.T4 levels rise then fall.
a. T4 levels increase.
3. Which of these is not classified as a Category A biologic agent?

A. Anthrax

B. Botulism

C. Hantavirus

D. Smallpox
C. Hantavirus
13. Which management strategy in the acute phase of burn injuries concentrates on the maintenance of adequate nutrition?
A. Preventing infection
B. Providing metabolic support
C. Minimizing pain
D. Providing wound care
B. Providing metabolic support
4. Which of these injuries is an example of what would be categorized as a Green Priority during triage in a disaster situation?

A. Psychological disorders

B. Spinal cord injury

C. Burns over 10% of the body

D. Radiation exposure
A. Psychological disorders
7. Which of the following is a major medication used to control hypothyroidism?
A. Nonsteroidal, anti-inflammatory agents
B. Oral glucocorticoids
C. Propylthiouracil
D. Prednisone
C. Propylthiouracil
Ms. D is scheduled for a cholecystectomy and common bile duct exploration. If Ms. D had an elevated bilirubin level, the most likely explanation would be a stone blocking the
A. common bile duct.
When diagnosing delirium, what is the most commonly used assessment instrument for identifying cognitive changes?
A. Mini-Mental State Examination
B. Diagnostic and Statistical Manual of Mental Disorders
C. Journal of the American Medical Association
A. Mini-Mental State Examination
What is widely used for the relief of dyspnea?
A. Benzodiazepine
B. Haloperidol
C. Butyrophenone
D. Morphine
D. Morphine
1. What is the major cause of acute pancreatitis in the United States?
A. Geographic location
B. Nutrition
C. Alcohol abuse
D. Age
B. Nutrition
What medical management procedure is used to reduce pain in clients with pancreatitis?
A. Morphine
B. Opioid analgesics
C. Meperidine
D. Both b and c
D. Both b and c
The major complications of Graves' disease are:
A. exophthalmos, heart disease, and thyroid storm.
B. thyroid storm and heart disease.
C. heart disease and exophthalmos.
D. exophthalmos, heart disease, and thyroiditis.
A. exophthalmos, heart disease, and thyroid storm.
When an unexpected death occurs in the ED, which of the following tasks is most appropriate to delegate to the nursing assistant
1. Escort the family to a place of privacy.
2. Go with the organ donor specialist to talk to the family.
3. Assist with pos
3. Assist with postmortem care.
In the administration of an antidiuretic hormone, the nurse would recognize that which medication could be easily self-administered by a client? [Hint]
1. Desmopressin (DDAVP)
2. Vasopressin
3. Somatotropin
4. Glucocorticoids
1. Desmopressin (DDAVP)

Desmopressin (DDAVP) is available as a nasal spray and can be easily self-administered by a client
What is the antidote for Acetaminophen overdose and how soon does it need to be given?
N-Acetylcysteine (Mucomyst) is given to help prevent liver damage following acetaminophen overdose. It should be

given within 8 hours of ingestion for optimal effect.
Which of these is the mechanism for achieving professional practice through greater participation in decision making?

A. Job satisfaction.

B. Collective bargaining.

C. Collective action.

D. Work place advocacy.
D. Work place advocacy.
A client is admitted to a medical-surgical unit after six hours in the emergency room. He request that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?
Total quality management

Total Quality Management is customer-focused.
A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician, what should be the next step in the client's care?
Complete an incident report

Completion of an incident report is necessary after notification of the physician.
Diagnosis: Safe, Effective Care Environment: Application
What are the two most common conditions of biliary tract disorder?
A. Gallstones and associated pancreatitis
B. Gallstones and associated cholecystitis
C. Gallstones and associated cholelithiasis
D. Gallstones and associated cholangitis
B. Gallstones and associated cholecystitis
The nurse cautions the client receiving Calcium Gluconate to avoid adding foods such as nuts, legumes and tofu to the diet. The rationale for this instruction is that
1. these foods cause GI distress.
2. these foods may cause hypercalcemia.
3. these fo
these foods, rich in zinc, may decrease calcium absorption.

Consuming food rich in zinc may decrease calcium absorption. Teach clients to avoid zinc-rich roods such as nuts, legumes, seeds, sprouts, and tofu.
A nurse is performing a routine health screening on a 42-year-old female who reports that her necklaces seem to be tighter around her neck and that her neck appears swollen to her. Which of the following identifies the nurse's most appropriate action at t
2. Assess the client's thyroid gland
9. What factors influence burn severity?
A. Burn depth
B. Burn size
C. Burn location
D. All of the above are correct.
D. All of the above are correct.
11. In caring for a victim of sexual assault, which task is most appropriate for an LPN/LVN?
1. Assess immediate emotional state and physical injuries.
2. Collect hair samples, saliva swabs, and scrapings beneath fingernails.
3. Provide emotional suppo
3. Provide emotional support and supportive communication
Which drugs cause increased risk for peptic ulcers, decreased wound healing, and increased capillary fragility?
1. Glucocorticoids
2. Antidiuretic hormones
3. Growth hormones
4. Antithryroid hormones
1. Glucocorticoids

Glucocorticoids can cause increased risk for peptic ulcers, decreased wound healing, and increased capillary fragility.
A client admitted with acute pancreatitis complains of severe epigastric and abdominal pain accompanied by nausea and vomiting. Upon physical assessment, the nurse notes mild jaundice. When establishing nursing diagnoses for this client, which of the foll
1. Pain: related to obstruction of pancreatic ducts and inflammation

Control of pain is a priority for the client with acute pancreatitis. Analgesics should be administered on a regular schedule. Management of nutrition, maintaining fluid volume balance, and promoting self-care are all appropriate interventions for the client, and can be better achieved with pain control.
Analysis; Physiological Integrity; Application
A client complains every morning about the night shift nursing staff. His call light is not answered promptly regarding his elimination needs. No one shares his concerns with the manager, and he falls while trying to walk to the bathroom. This is a common
Breakdown in communication

Communication with the staff allows a better understanding of safety concerns.
Which of the following is not a major goal of surgical intervention for chronic pancreatitis?
A. Denervation procedure
B. Ductal drainage procedure
C. Pancreatic enzyme replacement
D. Ampullar procedure
C. Pancreatic enzyme replacement
Based on the information listed above, what data would be considered risk factors for gallbladder disease?
A. Race, gender, and number of pregnancies
B. Age, hormone replacement, and weight
C. Hypertension, gender, and race
D. Hysterectomy, number of
B. Age, hormone replacement, and weight
An advance practice nurse is performing a physical assessment on a client suspected of having an endocrine disorder. During testing of stereognosis in the client, the nurse implements which of the following?
1. Place a rubber band in the client's hand an
Place a rubber band in the client's hand and ask to the client to identify the object

Stereognosis is the ability to identify an object merely by touch. The use of rubber bands, buttons, cotton balls or other common items are recommended. The pinprick tests pain; the cold water tests temperature; and the tuning fork tests vibration.
Assessment; Health Promotion and Maintenance; Application
12. You are caring for a victim of frostbite to the feet. Place the following interventions in the correct order.
1. Apply a loose, sterile, bulky dressing.
2. Give pain medication.
3. Remove the victim from the cold environment.
4. Immerse the feet i

3. Remove the victim from the cold environment.
2. Give pain medication.
4. Immerse the feet in warm water 1000 F to 1050 F (40.60 C to 46.1 0 C).
1. Apply a loose, sterile, bulky dressing.
You are the charge nurse in an emergency department (ED) and must assign two staff members to cover the triage area. Which team is the most appropriate for this assignment?
1. An advanced practice nurse and an experienced LPN/LVN
2. An experienced LPN/L
3. An experienced RN and an inexperienced RN
The client's calcium level is reported as 5.6 mg/dL. The nurse should assess the client for
1. headache.
2. anorexia.
3. muscle spasms.
4. drowsiness.
muscle spasms.

Normal serum calcium level is 8.5-11.5 mg/dL. Signs of hypocalcemia include seizures, muscle spasms, facial twitching, and paresthesias.
A tearful parent brings a child to the ED for taking an unknown amount of children's chewable vitamins at an unknown time. The child is currently alert and asymptomatic. What information should be immediately reported to the physician?
1. The ingested ch
1. The ingested children's chewable vitamins contain iron.
What precautions should a client who is receiving radioactive iodine be made aware of?
1. Drink plenty of fluids, especially those high in calcium
2. Avoid close contact with children or pregnant women for 1 week after administration of drug
3. Be awar
Avoid close contact with children or pregnant women for 1 week after administration of drug
Which of the following results are expected for a client with chronic pancreatitis receiving pancreatic enzyme supplements?
1. A decrease in abdominal distention
2. A reduction in fatty, frothy, foul-smelling stools
3. An increase in appetite
4. A
2. A reduction in fatty, frothy, foul-smelling stools

Clients with chronic pancreatitis are prescribed pancreatic enzyme supplements to reduce fatty, frothy, foul-smelling stools (steatorrhea) which are caused by a decrease in pancreatic enzyme secretions. The supplements do not reduce abdominal distention or pain, nor do they increase appetite.
Assessment; Physiological Integrity; Analysis
16. Ms. D is scheduled for a cholecystectomy and common bile duct exploration. In completing preoperative teaching, the nurse would include which of the following explanations?
A. Information about a midabdomen vertical incision
B. Information on extra
C. A description of a T-tube
In the administration of an antithyroid drug such as Propacil, the nurse must be aware that the client may be at risk for the development of which skin condition?
1. Contact dermatitis
2. Varicella
3. Circumoral cyanosis
4. Jaundice

The nurse needs to be aware of the risk of developing the skin condition called jaundice
A nurse, teaching a group of clients with endocrine disorders, is evaluating their understanding of the teaching session. Which of the following statements made by one of the clients indicates an understanding regarding negative feedback and hormone regul
1. "When my body detects a change in hormone levels, the hormones adjust secretion to maintain stable levels."
The nurse completing a physical exam on a child diagnosed with osteomalacia would expect to find
1. bowlegs and a pigeon breast.
2. deformities of the fingers and toes.
3. shortness of breath.
4. the use of crutches for walking.
bowlegs and a pigeon breast.

Osteomalacia, referred to as rickets in children, is a disorder characterized by softening of bones without alteration of basic bone structure. Classic signs of rickets in children include bowlegs and a pigeon breast.
In order to best reduce the potential for risk, the development of which type of atmosphere is needed?

The patients will believe that their best interest is at heart.
Planning: Safe, Effective Care Environment: Analysis
Which of the following is an example of/are examples of complicated grieving?
A. Chronic grief
B. Delayed grief
C. Exaggerated grief
D. Both a and b
E. All are examples of complicated grieving.
E. All are examples of complicated grieving.
12. Which of the following is not an appropriate method of wound care?
A. Debridement
B. Removal of damaging agents
C. Application of a topical agent and dressing
D. All of the above are appropriate.
D. All of the above are appropriate.
Why is the Albumin level often decreased with liver disease?
Albumin is a protein that is formed in the liver. Decreased levels occur due to liver damage.
The nurse is preparing a client with ascites for an abdominal paracentesis. Which of the following indicates that the client is not properly prepared for the physician to begin the procedure?
1. The client is in a sitting position.
2. The client has n
2. The client has not voided in 2 hours.

The preparation of a client for abdominal paracentesis includes positioning in a sitting position, either in a chair on the side of the bed. Baseline vital signs are obtained, and since this is an invasive procedure, informed consent is also obtained. The client should void immediately prior to the paracentesis to avoid bladder puncture.
Evaluation; Physiological Integrity; Application
Postoperatively, if Ms. D were to have a T-tube, nursing care plans would include which of the following?
A. Hang the drainage bag below the bed.
B. Report the first day's output of 500 ml to the physician.
C. Irrigate the T-tube every 4 hours.
D. Re
D. Record the volume and color of the drainage every 8 hours.
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