TheoryNCLEX PN Practice Test Video
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Q1The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. The best statement, if made by the nurse to the nurse’s aide, is <code>________</code>.
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✓ Correct answer: “It seems to me that you feel frustrated.<br/><br/>What can I help you with to care for our patients?”
This statement uses reflection and offers assistance to a fellow member of the patient care team. Do not refer back to yourself or offer a break. Offer to directly alleviate the cause of the problem.
Q2Which of the following terms is defined as when an individual believes that which was previously known as reality has been altered or completely done away with?
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✓ Correct answer: Derealization.
Dementia is defined as a state of having several cognitive deficits that usually include memory issues. Akathisia is defined as being restless with regard to the motor system. Delirium deals with changes in cognition that take place over time.
Q3Bleuler’s four A’s are used to help remember the important characteristics of schizophrenia.<br/><br/>Which of the following is NOT one of the four A’s?
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✓ Correct answer: Actualities
When faced with a question about schizophrenia use Bleuler’s four A’s to remember the characteristics of schizophrenia. They are: autism (preoccupied with self); affect (flat); associations (loose); and ambivalence (difficulty making decisions). Actualities is not one of the characteristics.
Q4Which of the following would you expect to see with second- and third-degree burns in the emergent phase?
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✓ Correct answer: Elevated hematocrit levels
One would expect to find elevated hamatocrit levels in a patient in the emergent phase of second- or third-degree burns. 48 to 72 hours after injury, the emergent phase ends with the restoration of capillary permeability. Hemoconcentration from large fluid shifts leads to increased hematocrit.
Q5You are teaching your nursing students about maintaining an acid-base balance in the body. Part of maintaining this balance is the chemical buffer system.<br/><br/>Which of the following will you tell them is the main chemical buffer?
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✓ Correct answer: Bicarbonate-carbonic acid
The main chemical buffer is the bicarbonate-carbonic acid system. Normally there are 20 parts of bicarbonate to 1 part carbonic acid. If this 20:1 ratio is altered the pH is changed. Other buffer systems are hemoglobin, protein and phosphate.
Q6Which behavior is most healthful for a client with arterial insufficiency?
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✓ Correct answer: Wear loose fitting socks.
Loose fitting socks will promote good circulation. Crossing the legs at any point is detrimental to circulation.
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