Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions - Part 83

1. The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for tomorrows menu. Which vitamin is the most essential in promoting tissue healing?

A) Vitamin C
B) Vitamin B1
C) Vitamin D
D) Vitamin A

2. As a postoperative cholecystectomy client completes tomorrows dinner menu, the nurse knows that one of the following meal choices will best provide the essential vitamin(s) necessary for proper tissue healing?

A) Liver, white rice, spinach, tossed salad, custard pudding
B) Fish fillet, carrots, mashed potatoes, butterscotch pudding
C) Roast chicken, gelatin with sliced fruit
D) Chicken breast fillet in tomato sauce, potatoes, mustard greens, orange and strawberry slices

3. A 71-year-old client fell and injured her left leg while cooking in the kitchen. Her husband calls the ambulance, and she is taken to the emergency department at a local hospital. X-ray reports confirm that she has an intertrochanteric fracture of the left femur. Her left leg will require skeletal traction initially and then surgery.The nurse knows that this type of traction will be used:

A) By inserting pins to provide steady pull on the bone
B) To suspend the leg in a sling without pull on the extremity
C) Intermittently to place a pull over the pelvis and lower spine
D) With weights at both ends of the bed to maintain pull on the upper extremity

4. Pin care is a part of the care plan for a client who is in skeletal traction. When assessing the site of pin insertion, which one of the following findings would the nurse know as an indicator of normal wound healing?

A) Exudate
B) Crust
C) Edema
D) Erythema

5. A 47-year-old client comes to the emergency department complaining of moderate flank, abdominal, and testicular pain with nausea of 4 hours duration. After physical examination and obtaining the clients history, the physician suspects urethral obstruction by calculi. The nurse realizes that the physician will order which one of the following diagnostic studies to best confirm the diagnosis?

A) Cystoscopy
B) Kidneys, ureter, bladder, x-ray of abdomen
C) Intravenous pyelogram with excretory urogram
D) Ureterolithotomy

1. Right Answer: A
Explanation: (A) Vitamin C (ascorbic acid) is essential in promoting wound healing and collagen formation. (B) Vitamin B1 (thiamine) maintains normal gastrointestinal (GI) functioning, oxidizes carbohydrates, and is essential for normal functioning of nervous tissue. (C) Vitamin D regulates absorption of calcium and phosphorus from the GI tract and helps prevent rickets. (D) Vitamin A is necessary for the formation and maintenance of skin and mucous membranes. It is also essential for normal growth and development of bones and teeth.

2. Right Answer: D
Explanation: (A) This meal choice provides more of the vitamins A, D, and K than of vitamin C. (B) This meal choice provides more of the vitamins A, B12, and D than of vitaminC. (C) This meal choice provides more of the vitamins A, B1 (thiamine), niacin, and microminerals than of vitamin C. (D) This meal choice provides foods rich in vitamin C, which are essential in tissue healing.

3. Right Answer: A
Explanation: (A) Skeletal traction is the application of traction directly to bone with the use of pins and wires or tongs for the purpose of providing a strong, steady, continuous longitudinal pull on the bone. It is indicated for preoperative immobilization and positioning of hip and femur fractures. (B) A type of skeletal traction (balanced suspension with a Thomas splint and Pearson attachment) uses a sling to support the extremity, but it also uses weights to provide a strong, steady continuouspull on the extremity. A sling is used instead of pins. (C) Pelvic traction provides an intermittent pull over the pelvis and bone, whereas skeletal traction is continuous. Pelvic traction does not use pins. (D) Skeletal traction uses weights at the end of the bed to provide a continuous pull on long bones. Weights are not applied to both ends of the bed.

4. Right Answer: B
Explanation: (A) Exudate (moist, active drainage) is a clinical sign of wound infection. (B) Crust (dry, scaly) is part of the normal stages of wound healing and should not be removed from around the pin site. It usually sloughs off after the underlying tissue has healed. (C) Edema (swelling) is a clinical sign of wound infection. (D)Erythema (redness) is a clinical sign of wound infection.

5. Right Answer: C
Explanation: (A) Cystoscopy is an endoscopic procedure that uses an instrument (a cystoscope) to visualize the internal bladder and ureter structures and to capture and remove an obstructing stone. (B) Kidney, ureter, bladder x-ray is used to outline gross structural changes in the kidneys, ureter, and bladder and will determine the general location of a stone. (C) An intravenous pyelogram with excretory urogram is used to visualize the kidneys, kidney pelvis, ureters, and bladder. This procedure is used specifically to determine whether urethral obstruction is partial or complete; it shows the exact location of the stone and dilation of the ureter above the stone. (D) Ureterolithotomy is a surgical procedure in which the ureter is incised and the stone is manually removed because the stone is unable to pass through the ureter independently.

80% DISCOUNT: NCLEX-RN PRACTICE EXAMS