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Answers to the "Would You Pass the NCLEX? Part III" Quiz

Answers to the "Would You Pass the NCLEX? Part III" Quiz

May 19, 2009

1. Situation– Mr. Dizon, 84 years old, brought to the Emergency Room for complaint of hypertension, flushed face, severe headache, and nausea. You are doing the initial assessment of vital signs. You are to measure the client’s initial blood pressure reading by doing all of the following EXCEPT:

  • Take the blood pressure reading on both arms for comparison
  • Listen to and identify the phases of Korotkoff’s sound
  • Pump the cuff to around 50 mmHg above the point where the pulse is obliterated- Correct answer!
  • Observe procedures for infection control

2. A pulse oximeter is attached to Mr. Dizon’s finger to:

  • Determine if the client’s hemoglobin level is low and if he needs blood transfusion
  • Check level of client’s tissue perfusion
  • Measure the efficacy of the client’s anti-hypertensive medications
  • Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops- Correct answer!

3. In which type of shock does the patient experiences a mismatch of blood flow to the cells?

  • Distributive- Correct answer!
  • Cardiogenic
  • Hypovolemic
  • Septic

4. The preferred route of administration of medication in the most acute care situations is which of the following routes?

  • Intravenous- Correct answer!
  • Epidural
  • Subcutaneous
  • Intramuscular

5. After a few hours in the Emergency Room, Mr. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:

  • inconsistent
  • low systolic and high diastolic
  • higher than what the reading should be- Correct answer!
  • lower than what the reading should be

6. Through the client’s health history, you gather that Mr. Dizon smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?

  • 15 minutes
  • 30 minutes- Correct answer!
  • 1 hour
  • 5 minutes

7. While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to:

  • Set and turn on the alarm of the oximeter
  • Do nothing since there is no identified problem
  • Cover the fingertip sensor with a towel or bedsheet- Correct answer!
  • Change the location of the sensor every four hours

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  • Photo_user_blank_big

    Km041

    over 1 year ago

    2 comments

    The problem with sunlight on the pulse ox is that it can cause burning of the skin. Direct sunlight on the pulse ox can increase the chance of burning the skin.

  • Jennilee_st_john_max50

    jelly221

    about 3 years ago

    4 comments

    I've always been taught that actual nursing diagnoses (Impaired Urinary Elimination) take priority over potential ones (Risk for Infection). Also- why are we taking blood pressures twice routinely (#8). Also, my textbook says not to apply suctioning for >10 seconds. Finally, I don't think that sunlight on the pulse ox would make a difference... maybe I'm mistaken on that one unless someone has a reference? I couldn't find anything to that effect.

  • Photo_user_blank_big

    dali91

    over 3 years ago

    4 comments

    I have got to stop reading questions fast! i always miss key words! Brings my grade down a whole lot. Great Practice Quiz though!

  • Photo_user_blank_big

    carecrystal

    over 4 years ago

    2 comments

    I feel I did pretty good for never going to nursing school. but will be starting in May. I just wanted to see what I already knew and how I would do . I believe I did good. I been during nursing as a aide and med aide for 20+ plus years. So I am more determined than ever to reach my final goal as becoming a Rn. Thanks for having a ling like this.

  • Photo_user_blank_big

    wheeza50

    over 4 years ago

    6 comments

    14 out of 21 not to bad considering I'm not studing for my RN.

  • Photo_user_blank_big

    Myroslava

    over 4 years ago

    2 comments

    Test is so useful ,but on real NCLEX many questions from pharmacology.Thahk you !

  • P1010697_max50

    melaniya

    over 4 years ago

    790 comments

    I like this test. i did not do very well , gust 50 but i never study some of the subjects that mention there. and i am glad it is increased my knowledge. I will study and do it again. thanks for this test:)

  • Cap_078_max50

    JudoThumper

    over 4 years ago

    4 comments

    considering I am 20 plus years out of the field and re-entering it , I was rather pleased with my 1st try at this one, plus being a CNA helped me on some of the questions, because I always asked my nurses the why's and what fors, glad I did, it will help!

  • Ednah_max50

    EdnaH

    over 4 years ago

    8 comments

    Wow! what a refresher course. Thank you!

  • Emt_eeyore_max50

    lin44615

    over 4 years ago

    6 comments

    hey, don't dis the nurses, k

  • Editornurse_max50

    editor

    almost 5 years ago

    122 comments

    Yes, a Filipino nurse did create this quiz! Patis and toyo are similar to soy sauce. The quiz has been updated to reflect this.

  • Photo_user_blank_big

    woolieme21

    almost 5 years ago

    186 comments

    What is Patis and Toyo. Is this some kind of nursing lingo from mars?

  • Emt_eeyore_max50

    lin44615

    almost 5 years ago

    6 comments

    Warming blood to room temp?? Body temp is 98.6 room temp is aver 72 degrees?? dont you think that it should be a little warmer??

  • Photo_user_blank_big

    cindyreb

    almost 5 years ago

    2 comments

    PATIS AND TOYO??? A FILIPINO NURSE MADE THE THIS TEST!

  • Photo_user_blank_big

    tere

    almost 5 years ago

    2 comments

    my review center says,i have to warm blood 30 mints in room temparature

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