Exam 2 Practice Nclex questions PDF

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Pathophysiology Exam 2 Practice NCLEX questions

1. The nurse prepares to administer cyanocobalamin (vitamin B12 injection) to a client with pernicious anemia. When the client asks why the medication must be given in an injection, which response does the nurse give? A. “Giving your vitamin B12 in an injection will work faster than a pill, so you will feel better sooner.” B. “I will contact your healthcare provider about changing your prescription to the oral form of vitamin B12.” C. “Most people prefer the injection because vitamin B12 tablets can stain your teeth.” D. “Your body does not have enough intrinsic factor to absorb vitamin B12 when taken by mouth.”

2. A nurse plans for a client admitted with a sickle cell crisis. After beginning hydration and oxygen supplementation, which is the priority intervention? A. B. C. D.

Instruct the client to ask for pain medication. Monitor weight and provide high protein snacks between meals as needed. Request an evaluation by the physical therapist to limit loss of function. Use standardized scales to assess the client for sign of depression.

3. The nurse teaches the client about symptoms of hypertension. Additional education is required when the client states which symptom indicates elevated blood pressure? A. B. C. D.

Blurred vision Head fullness Headaches Leg swelling

4. Which clinical sign does the nurse find when assessing a client with right-sided heart failure? A. B. C. D.

Clubbing Dry cough Leg edema Pulmonary crackles

5. The nurse assesses a client with acute chest pain. What signs or symptoms suggest angina pectoris? (Select all that apply) A. B. C. D. E.

Pain getting worse with deep breathing Pain in the chest spreading to left arm Pain occurring with activity Pain relieved by rest Pain resolved after eating

6. The nurse performs a focused assessment for a client admitted to the hospital with a suspected myocardial infarction (MI). The nurse is concerned when the client describes referred pain to which location? A. B. C. D.

Head Left shoulder Lower abdomen Sternum

7. A nurse is obtaining a health history from a client with diagnosis of renal calculi. Which factor in the client’s history most likely contributed to the development of the renal calculi? A. High-cholesterol diet B. Excessive exercise program C. Excessive ingestion of antacids D. Social consumption of alcohol

8. A female client who has recurrent UTIs is asking about how to prevent future infections. What should the nurse include in her instructions? (Select all that apply): A. Avoid fluid intake after 6pm B. Drink 8-10 glasses of water everyday C. Urinate immediately after sexual intercourse D. Increase daily intake of carbonated beverages E. Clean perineal area from front to back

9. A patient is admitted with nephrolithiasis. What findings does the nurse expect when the client voids? A. Urgency and pain B. Foul odor and dark urine C. Hematuria and sharp pain D. Urgency and hematuria

10. A client has undergone lithotripsy for a renal calculus and is being discharged from the hospital. What instructions should the nurse include? A. Drinking at least 3 L of fluid daily B. Removing fish from diet C. Increasing intake of dairy D. Restricting movement for 3 days

11. A nurse notes that a patient in acute renal failure has a potassium level of 6.2 mEq. What is the nurse’s priority action? a. Redraw the lab b. Obtain an EKG c. Encourage fluids d. Obtain BUN values

Answers: 1) D 2) A 3) D- this is the only symptom that is not caused by high blood pressure. 4)C 5) B,C,D 6) B 7) C 8) B, C, E 9) C 10) A 11) B- ABC prioritization. High potassium can lead to cardiac complications....