Comprehensive and Predictive NCLEX-style examination with 50 updated questions. Passing score: 70%
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A client exposed to Mycobacterium tuberculosis starts on chemoprophylaxis. The nurse provides which instruction to the client?
The nurse delegates an unlicensed assistive person (UAP) to assist a client with a clean urinary catheterization procedure. The client was formerly able to perform the procedure alone but because of arthritis, he is no longer able to do so. Although the UAP has done this procedure before, which direction is most important for the nurse to emphasize to the UAP?
The surgical unit nurse is assigned to the care of a client who returned from surgery 8 hours ago. Which assessment is of highest priority at this time?
The clinic nurse is conducting health screenings. Which client assessment findings indicate the need for health education about reducing risk factors for stroke? Select all that apply.
Which action should the nurse take to maintain medical asepsis when caring for a hospitalized client with diabetes mellitus who requires irrigation of a leg ulcer and insulin injections? Select all that apply.
Hematologic laboratory test results indicate a client with cancer is in the nadir period following the latest round of chemotherapy. Which drug should the nurse avoid administering to this client at this time?
The newborn nursery has recently formed a unit operations committee. The nurse who wishes to exert situational leadership in this committee should exhibit which behavior?
The nurse places highest priority on taking which action to reduce the spread of microorganisms when caring for a client at risk for infection?
The nurse should report to the healthcare provider which abnormal laboratory values for a 58-year-old client newly hospitalized with fever and diarrhea? Select all that apply.
A confused client who keeps trying to pull out a central venous access device has been prescribed to have a wrist restraint applied for safety reasons. Which action should the nurse take to apply the restraint correctly?
A postoperative client who will receive enoxaparin subcutaneously wants to know why this drug is being prescribed. What would be the best response by the nurse?
The emergency department has experienced a 20% increase in client visits from the same period last year. In an effort to empower staff to reduce staff stress and burnout, the charge nurse should use which approach to demonstrate shared leadership?
While providing a nursing history, a 65-year-old client reports that his sleep patterns are different than when he was younger. The nurse explains to the client that which changes in sleep can occur because of the aging process?
A labor and delivery nurse notes a pattern of late decelerations on the fetal monitor. Which priority action should the nurse take at this time?
The surgical unit nurse reassesses the condition of a postoperative client who was transferred to the unit 2 hours ago. Which data obtained at this time is of concern to the nurse? Select all that apply.
After defibrillation, the client continues to be in a pulseless ventricular tachycardia. After administration of procainamide, the nurse should expect to see which therapeutic response?
The nurse is assigned to a client diagnosed with head and neck cancer who is receiving enteral feedings via gastrostomy tube. When the nurse is called away to care for another client, which task for this client could most appropriately be delegated to the unlicensed assistive person (UAP)?
A client with uncompensated metabolic acidosis is admitted to the hospital for observation and treatment. Which values should the nurse anticipate when laboratory test results are communicated to the nursing unit?
A client has a BUN of 68 mg/dL and a creatinine level of 6.0 mg/dL. An IV solution of 5% dextrose in 0.9% NaCl with 40 mEq potassium chloride is infusing at 100 mL/hour. Which action would be most appropriate for the nurse to take?
The emergency department (ED) nurse is notified that a train travelling through the community has derailed and several casualties will be transported to the ED. What should be the first action taken by the nurse?