NCLEX : Standard Tests and Treatments

Study concepts, example questions & explanations for NCLEX

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Example Questions

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Example Question #1 : Standard Tests And Treatments

What is the normal range for hemoglobin levels in an adult female?

Possible Answers:

Correct answer:

Explanation:

The normal range for hemoglobin in an adult female is . Hemoglobin levels above that range may be indicative of chronic low blood oxygen, while lower levels of hemoglobin are seen in anemia. 

Example Question #24 : Ethics, Processing, And Care

What is the normal range for hemoglobin levels in an adult male?

Possible Answers:

Correct answer:

Explanation:

The normal range for hemoglobin levels in an adult male is . Hemoglobin levels above that range may be indicative of chronic low blood oxygen, while lower levels of hemoglobin are seen in anemia. 

Example Question #2 : Standard Tests And Treatments

What should you expect to hear when percussing the seventh intercostal space along the right midclavicular line?

Possible Answers:

Tympany

Dullness

Resonance

Hyper resonance

Correct answer:

Dullness

Explanation:

When percussing the seventh intercostal space along the right midclavicular line, you should expect to hear a dull note, as this is directly over the solid mass of the liver.

The border of the liver can be found by percussing in a descending line along the intercostal spaces of the right midclavicular line, starting at the clavicle. The superior border of the liver can be measured at the point where percussion transforms from resonant or hyperresonant (indicating the air-filled lung) to dull (indicating the solid mass of the liver).

Example Question #26 : Ethics, Processing, And Care

On palpating the abdominal aorta, the diameter of the aorta is measured at 3cm. This indicates an abdominal aorta that is __________.

Possible Answers:

Normal size

Narrowed or constricted

Slightly enlarged

Significantly enlarged and at risk for rupture

Correct answer:

Normal size

Explanation:

A healthy and normal abdominal aorta will measure between 2.5-3cm in diameter. An abdominal aorta over 3cm and under 5cm in diameter is considered to be enlarged, and surgery to prevent abdominal aortic aneurism is generally performed on abdominal aortas that surpass 5cm in diameter in females or 5.5cm in diameter in males.

Example Question #27 : Ethics, Processing, And Care

A patient reports to urgent care for colicky pain in the upper right quadrant that they rate as a seven out of ten. The night before they ate a fatty meal with two glasses of wine. Which of the following tests would help you asses for cholecystitis?

Possible Answers:

Murphy's sign

Rovsing's sign

Mc Burney's point

Psoas sign

Correct answer:

Murphy's sign

Explanation:

A positive Murphy's sign is an indication of cholecystitis, or gallbladder inflammation. Testing for Murphy's sign is performed during an abdominal exam by asking the patient to breathe out slowly while the fingers of the examiner are slid under the right costal margin and held in place with firm pressure. The patient is then asked to inhale, which forces the abdominal contents upward. Murphy's sign is considered positive if the patient winces or flinches when breathing in, due to pain when the inflamed gallbladder comes in contact with the examiner's fingertips.

Rovsing's sign, psoas sign, and McBurney's point are all tests for appendicitis.

Example Question #28 : Ethics, Processing, And Care

When testing for the strength of the left biceps brachii muscle, a patient is found to be able to move freely against gravity, but is unable to flex against very gentle resistance by the examiner. What grade of muscle strength should their bicep be assigned?

Possible Answers:

Correct answer:

Explanation:

In this case, the patient is able to move their biceps brachii against gravity, but they are unable to move against gentle resistance by the examiner. This means the muscle strength should be graded at .

The muscle strength grade is as follows:

: no contraction

: muscle contraction, but no movement

: movement with gravity, but not against gravity 

: movement against gravity, but not against resistance 

: movement against mild resistance by the examiner 

: normal muscle strength

Example Question #29 : Ethics, Processing, And Care

What is the reference range for normal potassium levels?

Possible Answers:

Correct answer:

Explanation:

The range for normal potassium levels in blood is . Anything above that (hyperkalemia) or below that range (hypokalemia) is considered abnormal. 

Example Question #27 : Procedures And Care

What is the reference range for normal sodium levels?

Possible Answers:

Correct answer:

Explanation:

Normal levels for sodium are between . Anything below  (hyponatremia) or above  (hypernatremia) this is considered abnormal and should be evaluated further.

Example Question #3 : Standard Tests And Treatments

Which of the following is the normal adult reference range for blood calcium levels?

Possible Answers:

Correct answer:

Explanation:

The normal adult reference range for blood calcium levels is .

Example Question #4 : Standard Tests And Treatments

What is the normal reference range for an adult male hematocrit?

Possible Answers:

Correct answer:

Explanation:

An adult male hematocrit is considered normal when between . Anything below this may indicate anemia, elevated white blood cell count, or blood loss, while numbers above this may indicate dehydration, chronic oxygen deficiency, or a condition of excess red blood cell production (such as polycythemia vera).

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