Fundamentals Of Nursing NCLEX Quiz 55

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Questions: 10 | Attempts: 3,667 | Updated: Jun 12, 2024

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Fundamentals Of Nursing NCLEX Quiz 55 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

A nurse is caring for a client with diarrhea and dehydration. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to:
- A.
  
  36 mg/dL.
- B.
  
  27 mg/dL.
- C.
  
  18 mg/dL.
- D.
  
  6 mg/dL.
Correct Answer
C. 18 mg/dL.

Explanation
The normal value of blood urea nitrogen is 8 to 25 mg/dL.Options A and B still indicates dehydration.Option D which has a low BUN occurs with conditions such as fluid volume overload. malnutrition. etc.

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2.

A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse evaluates the effectiveness of the diet if the total protein level is which of the following values?
- A.
  
  6.9 g/dL.
- B.
  
  4.9 g/dL.
- C.
  
  2.9 g/dL.
- D.
  
  0.9 g/dL.
Correct Answer
A. 6.9 g/dL.

Explanation
The normal value for total serum protein is 6 to 8 g/dL. The client with liver cirrhosis has low total protein levels secondary to inadequate nutrition.Options B. C. and D are abnormal values.

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3.

The nurse is handling a client with chronic pancreatitis. Upon reviewing the client’s record, which of the following serum amylase level is to be expected?
- A.
  
  50 units/L.
- B.
  
  150 units/L.
- C.
  
  350 units/L.
- D.
  
  650 units/L.
Correct Answer
C. 350 units/L.

Explanation
The normal serum amylase level is 25 to 151 unit/L. Clients with chronic pancreatitis have an increased level of serum amylase which does not exceed three times the normal value.Options A and B are within the normal values.Option D is seen with acute pancreatitis since the value may exceed five times the normal value.

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4.

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 10%. Based on the result, the nurse plans to teach the client about the importance of:
- A.
  
  Maintaining the result.
- B.
  
  Preventing hypoglycemia.
- C.
  
  Preventing hyperglycemia.
- D.
  
  Avoiding infection.
Correct Answer
C. Preventing hyperglycemia.

Explanation
Glycosylated hemoglobin A1c level of 8% higher indicates a poor diabetic control. Elevations indicate continued need for a teaching related to the prevention of hyperglycemic episodes.

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1
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5.

The nurse is reviewing the laboratory result of a client receiving digoxin (Lanoxin) and notes that the result is 2.5 ng/mL. The nurse plans to do which of the following?
- A.
  
  Give the next dose.
- B.
  
  Notify the physician.
- C.
  
  Check the client’s pulse rate.
- D.
  
  Increase the next dose as ordered.
Correct Answer
B. Notify the pHysician.

Explanation
The normal value therapeutic range for digoxin is 0.5 to 2 ng/mL. A level of 2.5 ng/mL indicates a toxicity. The nurse should immediately inform the physician. who may give further instructions about holding the next doses of digoxin.

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6.

The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)?
- A.
  
  None. This is a normal calcium level.
- B.
  
  Prolonged QT interval.
- C.
  
  Shortened ST segment.
- D.
  
  Widened T wave.
Correct Answer
B. Prolonged QT interval.

Explanation
The normal serum calcium level is 8.6 to 10 mg/dL. A serum calcium level lower than 8.6 mg/dL indicates hypocalcemia. Electrocardiographic changes that occur in a client with hypocalcemia include a prolonged ST or QT interval.Options C and D: A shortened ST segment and a widened T wave occur with hypercalcemia.

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7.

When providing care for a female client with Addison disease, the nurse should be alert for which of the following laboratory value?
- A.
  
  Potassium level of 3.2 mEq/L.
- B.
  
  Calcium level of 3.3 mEq/L.
- C.
  
  Sodium level of 150 mg/dL.
- D.
  
  Hematocrit level of 25%.
Correct Answer
D. Hematocrit level of 25%.

Explanation
A client with Addison’s disease is at risk for anemia. The normal hematocrit level of a female adult is 35% to 45%. A client with anemia has a low hematocrit level.Options A and B: Client with Addison’s disease have an increased potassium and calcium level.Option C: Client with Addison’s disease have a low sodium level.

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8.

A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS?
- A.
  
  Phosphorus level of 6 mg/dL.
- B.
  
  Phosphorus level of 3 mg/dL.
- C.
  
  Phosphorus level of 4 mg/dL.
- D.
  
  Phosphorus level of 2 mg/dL.
Correct Answer
A. pHospHorus level of 6 mg/dL.

Explanation
Tumor lysis syndrome (TLS) is a potentially life-threatening metabolic disorder characterized by elevated phosphorus levels. The normal phosphorus is 2.5 to 4.5 mg/dL.

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9.

A female client went to the clinic with a creatine clearance of 200 mL/min. Which of the following condition of the client can cause the increased level of this test?
- A.
  
  Renal disease.
- B.
  
  Dehydration.
- C.
  
  Congestive heart failure.
- D.
  
  History of high dietary protein intake.
Correct Answer
D. History of high dietary protein intake.

Explanation
The normal creatine clearance for a female is 88 to 128 ml/min. An increased creatinine clearance is often referred to as hyperfiltration and is most commonly seen during pregnancy or in clients with a large dietary protein intake.Options A. B. and C are seen with a decreased creatinine clearance.

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10.

A nurse is reviewing the complete blood count (CBC) of a child who has been diagnosed with idiopathic thrombocytopenic purpura. Which of the following laboratory result should the nurse report immediately to the physician?
- A.
  
  Platelet count of 30.000/mm3.
- B.
  
  Hemoglobin level of 7.5 g/dL.
- C.
  
  Reticulocyte count of 6.5%.
- D.
  
  Eosinophil count of 700 cells/mm3.
Correct Answer
B. Hemoglobin level of 7.5 g/dL.

Explanation
The low hemoglobin level indicates that the client has an active bleeding. and immediate actions such as additional diagnostic exam and blood transfusions can be suggested.Options A. C. and D: Decreased platelet count. increased reticulocyte and increased eosinophil count are expected in a child with idiopathic thrombocytopenic purpura.

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Current Version
Jun 12, 2024

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Sep 02, 2017

Quiz Created by
Santepro

Fundamentals Of Nursing NCLEX Quiz 55

A nurse is caring for a client with diarrhea and dehydration. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to:

A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse evaluates the effectiveness of the diet if the total protein level is which of the following values?

The nurse is handling a client with chronic pancreatitis. Upon reviewing the client’s record, which of the following serum amylase level is to be expected?

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 10%. Based on the result, the nurse plans to teach the client about the importance of:

The nurse is reviewing the laboratory result of a client receiving digoxin (Lanoxin) and notes that the result is 2.5 ng/mL. The nurse plans to do which of the following?

The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)?

When providing care for a female client with Addison disease, the nurse should be alert for which of the following laboratory value?

A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS?

A female client went to the clinic with a creatine clearance of 200 mL/min. Which of the following condition of the client can cause the increased level of this test?

A nurse is reviewing the complete blood count (CBC) of a child who has been diagnosed with idiopathic thrombocytopenic purpura. Which of the following laboratory result should the nurse report immediately to the physician?