WK6 - Infam NCLEX QUESTIONS

Free NCLEX Questions

Question for Nurses: Which order should the nurse question for a client admitted for acute pancreatitis?
- A. IV Lactated Ringers at 200 mL/hour
- B. NPO Diet
- C. Morphine 4 mg IVP prn pain
- D. Pancrelipase 500 units/kg PO TID

Post-Op Findings:
- Indicate if each finding is expected or requires immediate action.
- Shoulder pain: Expected
- Small serosanguinous drainage: Expected
- Bilious drainage: Requires Immediate Action
- Fever 102°F: Requires Immediate Action
- Mild nausea: Expected

Client Assessment Priority: A nurse is caring for a group of clients with pancreatitis. Which client should be assessed first?
- A. Client with serum lipase level of 1,200 U/L (normal range: 0-160 U/L)
- B. Client with a fingerstick glucose of 240 mg/dL
- C. Client with urine output of 15 mL/hour
- D. Client reporting pain 7/10

Patient Education: A nurse is providing teaching about gallstone prevention for a client with cholelithiasis. Which statement indicates the need for further teaching?
- A. “Rapid weight loss can increase gallstones.”
- B. “Obesity increases cholesterol stones.”
- C. “Skipping meals helps prevent attacks.”
- D. “Women are at higher risk.”

Lab Results Supporting Diagnosis: A nurse is caring for a client with suspected cholecystitis. Which lab results support the diagnosis? (Select all)
- A. Elevated WBC count
- B. Elevated bilirubin
- C. Elevated troponin
- D. Mild ALT elevation
- E. Low amylase

Patient Profile: A 47-year-old female is admitted with acute cholecystitis, presenting with:
- RUQ pain
- Fever
- Leukocytosis
Current Treatment: Receiving IV fluids, Ceftriaxone, and Morphine.
Assessment After 6 Hours: Noted findings include:
- Sudden decrease in abdominal pain
- Rigid, board-like abdomen
- Temperature 102.6°F (39.2°C)
- HR 124 BPM
- BP 86/50 mmHg
Analysis:
- Most Likely Condition:
- A. Gallbladder perforation with peritonitis
- B. Biliary colic
- C. Acute pancreatitis
- D. Atelectasis
- Priority Actions:
- A. Prepare for emergency surgery
- B. Notify rapid response/provider immediately
- C. Administer high-fat meal
- D. Apply heat to abdomen
- E. Increase IV fluid rate
- Parameters to Monitor:
- A. Blood pressure
- B. White blood cell count
- C. Oxygen saturation
- D. Abdominal rigidity
- E. Hemoglobin A1C

Associated Complications: Which complications are associated with Crohn’s disease? (Select all)
- A. Fistula formation
- B. Toxic megacolon
- C. Bowel obstruction
- D. Malabsorption
- E. Perforation

Client Case: A client with ulcerative colitis reports 12 bloody stools/day. Assessment reveals:
- BP 86/50
- HR 122
- Pale skin
Nurse’s Priority Action:
- A. Administer mesalamine
- B. Obtain stool specimen
- C. Initiate IV isotonic fluids
- D. Provide low-residue diet

Review Findings: Indicate whether each finding is more consistent with Crohn’s disease or ulcerative colitis.
- Findings:
- Patchy, skip lesions: Crohn’s
- Continuous inflammation: Ulcerative Colitis
- Fistulas common: Crohn’s
- Bloody diarrhea predominant: Ulcerative Colitis
- Involves entire GI tract: Ulcerative Colitis

Client Assessment: A nurse is caring for a group of clients.
Which Client to Assess First:
- A. Crohn’s client with mild RLQ cramping
- B. Ulcerative Colitis client with 4 bloody stools today
- C. Crohn’s client with new temperature of 103.4
- D. Ulcerative Colitis client requesting pain medication

Patient Statement for Further Teaching: A nurse is providing discharge teaching for a client with ulcerative colitis. Which statement indicates the need for further teaching?
- A. “I need to have a colonoscopy done regularly.”
- B. “Surgery may cure this disease.”
- C. “I should take loperamide during a flare.”
- D. “Stress can worsen symptoms.”

Client Case: A client with ulcerative colitis reports:
- 15 bloody stools/day
- HGB 7.9
- Fatigue
- Dizziness when standing
Nurse Anticipated Actions: (Select all)
- A. Type and crossmatch
- B. Colonoscopy immediately
- C. IV fluids
- D. Blood transfusion
- E. High-fiber diet

Symptom Development: A client with Crohn’s disease suddenly develops:
- Severe abdominal pain
- Rigid, board-like abdomen
- HR 132
- BP 88/54
- Fever 101.9°F
Most Likely Condition:
- A. Toxic megacolon
- B. Bowel perforation
- C. Fistula formation
- D. Partial obstruction
Priority Actions: (Select two)
- A. Administer opioid analgesic
- B. Notify rapid response/provider immediately
- C. Place client NPO
- D. Apply heat to abdomen
- E. Start broad-spectrum IV antibiotics
Parameters to Monitor:
- A. Blood pressure
- B. White blood cell count
- C. Oxygen saturation
- D. Abdominal rigidity
- E. Bowel movement frequency