NCLEX Exam Practice Question of the Week - 6/27/12

Elsevier NCLEX Exam Review

Question: The nurse is assessing a client who had a fractured femur repaired with an external fixator device. Which assessment findings would cause the nurse concern regarding the development of compartmental syndrome? Select all that apply.

1. Decrease in pulse rate in affected leg
2. Paresthesia distel to area of injury
3. Toes on affected leg cool to touch and edematous
4. Complaints that pins are hurting
5. Complaints of leg pain unrelieved by analgesics or repositioning
6. Client angry and calling loudly to the nurse every 10 minutes

NCLEX Exam Practice Question of the Week - 6/20/12

Elsevier NCLEX Exam Review

Question: A client is admitted with 50% of the body surface area burned after an industrial explosion and fire. The client’s serum albumin is 1.5 g/dL, the hematocrit is 30%, the urine specific gravity is 1.025, and the serum globulin is 3 g/dL. When evaluating the client’s response to fluid replace¬ment, the nurse should prepare to administer a colloid when the:

1. Globulin is 3 g/dL
2. Albumin is below 2 g/dL
3. Hematocrit is below 32%
4. Urine specific gravity is 1.018

NCLEX Exam Practice Question of the Week - 6/13/12

Question:A client with heart failure was experiencing difficulty breathing and increased pulmonary congestion. The physician prescribed furosemide (Lasix) 40 mg to be given intravenously and it was given an hour ago by the nurse. Which indicates the therapy has been effective?

1. The lungs are now clear to auscultation
2. The urine output has increased by 400 mL
3. The serum potassium has decreased from 4.7 mEq to 4.1 mEq
4. The blood pressure has decreased from 118/64 mm Hg to 106/62 mm Hg

Exam Practice Question of the Week - 6/6/12

Elsevier NCLEX Exam Review

Question: Which of the following laboratory results on a newly admitted client should the nurse report to the physician immediately?

1. Potassium 4.1 mEq/L
2. Hemoglobin 12.2 g/dL
3. Platelet count 165,000 mm3
4. White blood cell count 17,200 mm3