Mural Thrombus NCLEX Review Question

A 62-year-old man has experienced substernal chest pain upon exertion with increasing frequency over the past 6 months. An electrocardiogram shows features consistent with ischemic heart disease. He has a total serum cholesterol of 262 mg/dL. By angiography, there is 75% narrowing of coronary arteries.

In which of the following locations is a mural thrombus most likely to occur in this man?
A  Left atrium
B Left ventricle
C Right atrium
D Right ventricle

Correct Answe (B)
Rationale: The left ventricle is the major user of oxygen and nutrients and requires a good blood supply. A complication of ischemic heart disease with infarction is development of overlying mural thrombus. Such mural thrombi are likely to result from damage to the left ventricle from ischemic heart disease, either acutely with an underlying myocardial infarction, or with a left ventricular aneurysm formed following resolution of a large myocardial infarction

Mesenteric Artery Occlusion NCLEX Question with Answer and Rationale

A 63-year-old man has had insulin dependent diabetes mellitus for over two decades. The degree of control of his disease is indicated by the laboratory finding of hemoglobin A1C 10.1%. He has noted episodes of abdominal pain following meals. These episodes have worsened over the past year. On physical examination, there are no masses and no organomegaly of the abdomen, and he has no tenderness to palpation.

 Which of the following pathologic findings is most likely to be present in this man?

A Ruptured aortic aneurysm
B Hepatic infarction
C Mesenteric artery occlusion
D Acute pancreatitis

Correct Answer (C)
Rationale: He has 'abdominal angina' from diminished blood flow to the bowel as a consequence of severe atherosclerosis. Persons with diabetes mellitus may have this finding, because all branches of major arteries to the bowel are affected by atherosclerosis.

Femoral Vein Thrombosis NCLEX Question with Answer and Rationale

A 54-year-old previously healthy woman is hospitalized for pneumonia. On the 10th hospital day she is found to have swelling and tenderness of her right leg, which has developed over the past 48 hours. Raising the leg elicits pain. An ultrasound examination reveals findings suggestive of femoral vein thrombosis.

Which of the following conditions is most likely to have contributed the most to the appearance of these findings?

A Trousseau syndrome
B Protein C deficiency
C Immobilization
D Pregnancy

Correct Answer: (C)
Rationale: The immobilization while in hopsital would predispose to thrombosis of leg veins. This is the most common cause for deep venous thrombosis.

NCLEX Question for Maslow Basic Needs with Answer and Rationale

NCLEX Question
According to Maslow, which of the following categories of needs represents the most basic?


a. Physiologic needs  
b. Self-actualization
c. Safety and security needs
d. Belongingness 

Correct Answer:  Physiologic needs 
Physiologic needs must be met before an individual is able to move toward psychological health and well-being.

Self-actualization
Self-actualization is the highest level of need

Safety and security needs
Safety and security needs, while lower level, are not essential to physiologic survival.

Belongingness
Belongingness and affection needs are not essential to physiologic survival.

NCLEX Question for teaching a client about contraception

NCLEX Question
When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
a.    Spermicides
b.    Diaphragm
c.    Condoms
d.    Vasectomy


Correct Answer: C.

Rationale: Condoms, when used correctly and consistently, are the most effective contraceptive method or barrier against bacterial and viral sexually transmitted infections. Although spermicides kill sperm, they do not provide reliable protection against the spread of sexually transmitted infections, especially intracellular organisms such as HIV. Insertion and removal of the diaphragm along with the use of the spermicides may cause vaginal irritations, which could place the client at risk for infection transmission. Male sterilization eliminates spermatozoa from the ejaculate, but it does not eliminate bacterial and/or viral microorganisms that can cause sexually transmitted infections.

NCLEX Question for Client who is using oral contraceptive

NCLEX Question

For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?

1. Decrease the incidence of nausea
2. Maintain hormonal levels
3. Reduce side effects
4. Prevent drug interactions

Correct Answer: B.
Rationale: Regular timely ingestion of oral contraceptives is necessary to maintain hormonal levels of the drugs to suppress the action of the hypothalamus and anterior pituitary leading to inappropriate secretion of FSH and LH. Therefore, follicles do not mature, ovulation is inhibited, and pregnancy is prevented. The estrogen content of the oral site contraceptive may cause the nausea, regardless of when the pill is taken. Side effects and drug interactions may occur with oral contraceptives regardless of the time the pill is taken.

Fundamentals of Nursing Review Questions Part II | NCLEX Review

1. Which of the following procedures always requires surgical asepsis?
1. Vaginal instillation of conjugated estrogen
2. Urinary catheterization
3. Nasogastric tube insertion
4. Colostomy irrigation
2. Sterile technique is used whenever:
1. Strict isolation is required
2. Terminal disinfection is performed
3. Invasive procedures are performed
4. Protective isolation is necessary
3. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?
1. Using sterile forceps, rather than sterile gloves, to handle a sterile item
2. Touching the outside wrapper of sterilized material without sterile gloves
3. Placing a sterile object on the edge of the sterile field
4. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container
4. A natural body defense that plays an active role in preventing infection is:
1. Yawning
2. Body hair
3. Hiccupping
4. Rapid eye movements
5. All of the following statement are true about donning sterile gloves except:
1. The first glove should be picked up by grasping the inside of the cuff.
2. The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
3. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
4. The inside of the glove is considered sterile

1. B. The urinary system is normally free of microorganisms except at the urinary meatus. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state.
2. C. All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. In the operating room, the nurse and physician are required to wear sterile gowns, gloves, masks, hair covers, and shoe covers for all invasive procedures. Strict isolation requires the use of clean gloves, masks, gowns and equipment to prevent the transmission of highly communicable diseases by contact or by airborne routes. Terminal disinfection is the disinfection of all contaminated supplies and equipment after a patient has been discharged to prepare them for reuse by another patient. The purpose of protective (reverse) isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.
3. C. The edges of a sterile field are considered contaminated. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated.
4. B. Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. Rapid eye movement marks the stage of sleep during which dreaming occurs.
5. D. The inside of the glove is always considered to be clean, but not sterile.