Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


Test-Taking Strategy: Eliminate “calcium chloride” and “calcium gluconate” first after recalling that they are used to treat hypocalcemia. To select between the last two options, remember that excessive vitamin D is a causative factor of hypercalcemia. If you had difficulty with this question, review the treatment for hypercalcemia.


PTS: 1 DIF: Level of Cognitive Ability: Applying REF: Ignatavicius, D., &Workman, M. (2010). Medical-surgical nursing: patient- centered collaborative care (6th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Planning


20. The nurse is assisting in the care of a client with pheochromocytoma who has been experiencing clinical manifestations of hypermagnesemia. When evaluating the client, the nurse determines that the client’s status is returning to normal if he no longer exhibits which of the following? 1. Tetany 2. Tremors 3. Areflexia 4. Muscular excitability


ANS: 3


Rationale: Signs of hypermagnesemia include neurological depression, drowsiness and lethargy, loss of deep tendon reflexes (areflexia), respiratory paralysis, and loss of consciousness. Tetany, muscular excitability, and tremors are seen with hypomagnesemia.


Test-Taking Strategy: Use the process of elimination. Note that all the incorrect options (“tetany,” “tremors,” and “muscular excitability”) are comparable or alike and reflect neurological excitability. If you had difficulty with this question, review clinical findings in magnesium imbalances.


PTS: 1 DIF: Level of Cognitive Ability: Evaluating REF: Black, J., & Hawks, J. (2009). Medical-surgical nursing: clinical management for positive outcomes (8th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Evaluation


21. The nurse is reading a computer printout of the results of a cerebrospinal fluid (CSF) analysis performed on an adult client who has undergone lumbar puncture. Evaluation of the results by the nurse leads to the determination that which of the following CSF findings is abnormal? 1. Red blood cells, 0 2. Glucose, 52 mg/dL


Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


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