NCLEX QUESTIONS

HEPATITIS A Mode of Transmission: Ingestion of fecal matter, even in microscopic amount, from   Close person-to-person contact with hepatitis A-infected person Sexual contact with hepatitis A-infected person Contaminated food or drinks Contaminated drug paraphernalia (works )  Risk Activities: Travel to countries where hepatitis A is common Sexual contact with a hep A infected person Use of illegal drugs (Injection or non-injection) Living with a clothing factor disorder Prevention Methods: Hepatitis A vaccination Immune globulin Proper hand washing with soap after the use of toilets and changing diapers, and before preparing and eating foods   Treatment Options: Provide supportive treatment (e.g. bed rest) No hepatitis A-specific medication are available   HEPATITIS B Modes of Transmission: Contact with infectious blood , semen and other bodily fluids, primarily through: Birth from a hep B-infected mother Sexual con

1. You are evaluating an HIV-positive patient who is receiving IV pentamidine (Pentam) as a treatment for Pneumocystis jiroveci (PCP) pneumonia. Which information is most important to communicate to the physician?   1.     The patient is reporting pain at the site of the infusion. 2.     The patient is not taking in an adequate amount of oral fluids. 3.     Blood pressure is 104/76 mm Hg after pentamidine administration. 4.     Blood glucose level is 55 mg/dL after medication administration. 2. Your patient with rheumatoid arthritis (RA) is taking prednisone (Deltasone) and naproxen (Aleve) to reduce inflammation and joint pain. Which symptom is most important to communicate to the health care provider?   1.     RA symptoms are worst in the morning 2.     Dry eyes 3.     Round and moveable nodules just under the skin 4.     Dark-colored stools 3. A patient with chronic hepatitis C has been receiving interferon alfa-2a (Roferon-A) injections for the

1. You are monitoring your patient who is at risk for spinal cord compression related to tumor growth. Which patient statement is most likely to suggest an early manifestation? 1.     "Last night my back really hurt, and I had trouble sleeping." 2.     "My leg has been giving out when I try to stand." 3.     "My bowels are just not moving like they usually do." 4.     "When I try to pass urine, I have difficulty starting the stream." 2. For a patient with osteogenic sarcoma, which laboratory value causes you the most concern? 1.     Sodium level of 135 mEq/L 2.     Calcium level of 13 mg/dL 3.     Potassium level of 4.9 mEq/L 4.     Hematocrit of 40% 3. An athletic young man was recently diagnosed with Ewing sarcoma. He has pain, low- grade fever, and anemia. The surgeon recommends amputation of the right lower leg for an operable tumor. The patient tells you he is leaving the hospital to go on a long hiking

1. On the first day after surgery, a client receiving an analgesic via PCA pump reports that the pain control is inadequate. What is the first action you should take?  1.     Deliver the bolus dose per standing order.  2.     Contact the physician to increase the dose.  3.     Try nonpharmacologic comfort measures.  4.     Assess the pain for location, quality, and intensity. 2. What is the best way to schedule medication for a client with constant pain?  1.     PRN at the client's request  2.     Before painful procedures  3.     IV bolus after pain assessment  4.     Around the clock 3. A client's family member says to you, "He needs more pain medicine. He is still having a lot of pain." What is your best response? 1.     "The physician ordered the medicine to be given every 4 hours." 2.     "If the medication is given too frequently, he could experience ill effects." 3.     "Please tell him t