Comprehensive and Predictive NCLEX-style examination with 50 updated questions. Passing score: 70%
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The nurse obtains a blood sample from a gravid client for determination of alpha-fetoprotein (AFP). What information will this laboratory value provide?
The nurse notes that an older client ‘s magnesium level is below normal.
Which client information should the nurse use to help explain the cause of
this client ‘s electrolyte imbalance?
The nurse notes that a client has a positive Chvostek’s sign. Which additional manifestation supports this finding?
The nurse notes that a client from the Hispanic culture does not eat
certain foods provided during meals. The client explains that the foods
provided are not appropriately “hot ” or “cold. ” What should the nurse do to
improve this client ‘s nutritional status?
The nurse notices that an older adult resident in a skilled nursing home facility has not been eating or drinking as much as usual. Which assessment finding by the nurse would best indicate the presence of dehydration?
Following a liver transplant the client is taking prednisone and other immunosuppressive medications to prevent organ rejection. The nurse should instruct the client to make it a priority to report which manifestation to the healthcare provider?
The nurse should place highest priority on which nursing intervention when planning to prevent atelectasis in the newly admitted postoperative client?
The nurse responds to a voice calling out from a room on the nursing unit. Upon entering the room, the nurse sees a client lying on the floor near the foot of the bed. After attending to the client and notifying the healthcare provider, which notation would be most appropriate to record on the incident/unusual occurrence report?
A client’s hemoglobin level is 14 grams/dL. Which interpretation of the laboratory value by the nurse is most accurate?
Which item should the nurse discuss when teaching home care measures to the parents of a child who has bilateral bacterial conjunctivitis?
After a client has experienced a seizure, the nurse should assist the client into which most appropriate position?
After correctly positioning a client for a wound dressing change and setting up a sterile field with supplies added, the nurse hears a page to respond to another client who has fallen in the hallway. What is the most appropriate action for the nurse to take at this time?
A client recently diagnosed with type 1 diabetes mellitus is learning to use the American Diabetes Association exchange lists. The nurse determines that the teaching has been effective if the client chooses which appropriate exchange for white rice?
The nurse is teaching a group of adults about health screenings for cancer. The nurse should include which item in the discussion? Select all that apply.
The nurse observes two unlicensed assistive personnel (UAP) in the corridor on the nursing unit arguing about how to handle a difficult client. What would be the most appropriate approach for the nurse to use to address this conflict between staff members?
The school nurse is assessing a muscular 17-year-old female who is coming to the high school health service because of edema, voice changes, and hair loss. What should be the nurse’s initial conclusion pending further assessment, based on the client’s subjective and objective data?
A 4-year-old child has been exposed to chickenpox. After providing information about chickenpox, the nurse asks the mother to repeat back the information. Which response by the mother indicates a need for additional information?
The school health nurse is planning safety education as part of back-to-school night for high school students and their parents. The nurse should plan to address which threat to safety that represents a developmental risk factor for adolescents?
When giving directions to a 24-year-old female with possible appendicitis who is about to undergo a pelvic sonogram, the nurse should make which statement to the client?
The nurse is conducting an initial interview with a 10-year-old boy who has been brought to the mental health clinic by his parents. The nurse can establish rapport and credibility with the child by asking the child which question?
The nurse is providing medication instructions to a client. The nurse informs the client that persistent gynecomastia can result from taking which newly prescribed diuretic?
As the nursing unit representative to the hospital quality management committee, the nurse has been asked to evaluate the quality of nursing services on the unit. What would be an appropriate quality improvement activity for the nurse to ask team members to participate in?
When a female client preparing for surgery suddenly bursts into tears, the preoperative holding unit nurse should take which action?
After reviewing the client’s health history, the nurse concludes that which item is the most significant factor for development of bronchogenic carcinoma for this client?