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Chapter 19
NCLEX-PN® Review
NCLEX-PN® Review
This activity contains 10 questions.
The physician has ordered normal saline for your patient. You know that it is classified as what type of solution?
Hypotonic
Colloid
Crystalloid
Hypertonic
You are working at a doctor's private office. Your patient has received an antibiotic IM for strep throat. What is the rationale for having the patient wait in the office for 30 minutes after the injection?
The patient might develop a hematoma.
The patient might have an allergic reaction.
The patient might become nauseous.
The patient might hemorrhage.
Your patient has a known allergy to bee stings. What medication would you encourage your patient to keep nearby?
Albuterol (Proventil)
Norepinephrine (Levophed)
Prednisone (Deltasone)
Epinephrine (EpiPen)
You are the first person at a motor vehicle accident. One of the motorists involved is walking around aimlessly and is having confused conversation. Her skin color is pale. You check her pulse, and it is weak and thready. What should you do?
Wrap a blanket around the motorist's shoulders.
Assist the motorist to a lying position with feet elevated.
Assist the motorist to a sitting position in a noninvolved vehicle.
Encourage the motorist to drink fluids, if available.
The pharmacy is unable to give you the albumin that a physician has ordered for one of your patients. Which of the following is a likely reason for this lack of supply?
Decreased product manufacturing/increased demand
Decreased product synthesis/increased demand
Decreased plasmapharesis/increased demand
Decreased blood donations/increased demand
You are caring for a patient receiving albumin. The patient starts to exhibit fever, chills, and dyspnea. What is a possible cause for these symptoms?
Allergic reaction
Congestive heart failure
Hypervolemia
Hypovolemia
What complaint is common among patients who are in the early stages of shock?
Thirst
Upset stomach
Increased urination
Feeling hot
What would you expect to find when assessing a patient in shock with regard to cardiovascular system?
Increased BP, increased HR
Increased BP, decreased HR
Decreased BP, increased HR
Decreased BP, decreased HR
Which vasoconstrictor also is used in nasal sprays?
Methoxamine (Vasoxyl)
Mephantermine (Wyamine)
Norepinephrine (Levophed)
Phenylephrine (Neosynephrine)
Crystalloids have two primary purposes. What are they? Select all that apply.
Concentrating the blood in the vessels
Replacing lost fluids
Increasing urinary output
Pulling electrolytes into the vascular system
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