Comprehensive and Predictive NCLEX-style examination with 50 updated questions. Passing score: 70%
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The nurse is monitoring a child with mumps for complications. Which manifestation is a sign of the most common complication of this disease?
An adolescent is hospitalized with a diagnosis of Rocky Mountain spotted fever (RMSF). The nurse anticipates that which medication will be prescribed?
A clinical nurse specialist is asked to present a clinical conference to the student group about brain tumors in children younger than 3 years. The nurse would include which information in the presentation?
The nurse caring for a child admitted to the hospital with a diagnosis of viral pneumonia describes the treatment plan to the parents. The nurse determines the need for further teaching when the parents make which statement regarding the treatment?
Tretinoin gel has been prescribed for a client with acne. What is the nurse’s response when the client calls and reports that, “My skin has become very red and is beginning to peel”?
A child hospitalized with a diagnosis of lead poisoning is prescribed chelation therapy. The nurse caring for the child would prepare to administer which medication?
The nurse is performing pin-site care on a client in skeletal traction. Which normal finding would the nurse expect to note when assessing the pin sites?
The nurse, caring for a client who has been placed in Buck’s extension traction while awaiting surgical repair of a fractured femur, would perform a complete neurovascular assessment of the affected extremity that includes which interventions? Select all that apply.
The nurse prepares to transfer the client with a newly applied arm cast into the bed using which method?
A magnetic resonance imaging (MRI) scan is prescribed for a client with a suspected brain tumor. Which prescription would the nurse expect to be prescribed for the client before the procedure?
A dose of ondansetron is prescribed for a client receiving chemotherapy for a brain tumor. The nurse anticipates that the primary health care provider will prescribe the medication by which route during the chemotherapy infusion?
The nurse is teaching the parents of a child diagnosed with celiac disease about dietary measures. The nurse would instruct the parents to take which measure?
A client, admitted to the hospital for evaluation of recurrent runs of ventricular tachycardia, is scheduled for electrophysiology studies (EPS). Which statement would the nurse include in a teaching plan for this client?
The nurse providing diet teaching to a client experiencing heart failure instructs the client to avoid which food item?
The nurse is developing a plan of care for a client diagnosed with type 1 diabetes mellitus who is also experiencing acute gastroenteritis. To maintain food and fluid intake in order to prevent dehydration, which action would the nurse plan to include?
The nurse in the postpartum unit is assessing for signs of breast-feeding problems demonstrated by either the newborn or the mother. Which findings indicate a problem? Select all that apply.
The nurse has completed tracheostomy care for a client whose tracheostomy tube has a nondisposable inner cannula. Which intervention will the nurse implement immediately before reinserting the inner cannula?
The nurse suspects that an air embolism has occurred when the client’s central venous catheter disconnects from the intravenous (IV) tubing. The nurse immediately places the client on her or his left side in which position?
An anxious client enters the emergency department seeking treatment for a laceration of the finger. The client’s vital signs are pulse 106 beats/min, blood pressure (BP) 158/88 mm Hg, and respirations 28 breaths/min. After cleansing the injury and reassuring the client, the nurse rechecks the vital signs and notes a pulse of 82 beats/min, BP 130/80 mm Hg, and respirations 20 breaths/min. Which factor likely accounts for the change in vital signs?
An echocardiogram, chest x-ray (CXR), and computed axial tomography (CAT) scan are prescribed for a client being evaluated for possible coronary artery disease who has been demonstrating activity intolerance. In which order would the nurse plan to schedule the procedures to meet the needs of this client safely and effectively?
The nurse is preparing to initiate an intravenous nitroglycerin drip on a client who has experienced an acute myocardial infarction. In the absence of an arterial monitoring line, the nurse prepares to have which piece of equipment for use at the bedside to help assure the client’s safety?
A client in labor has a diagnosis of sickle cell anemia. Which action would the nurse take to assist in preventing the client from experiencing a sickling crisis during labor?
A client is scheduled for computed tomography (CT) of the kidneys to rule out renal cancer. Which would the nurse assess the client for before the procedure to best assure the client’s safety?
The nurse assists a client diagnosed with pyelonephritis in collecting a 24-hour urine specimen. Which instruction does the nurse provide to the client to ensure proper collection of the 24-hour urine specimen?
The nurse is caring for a client in active labor. Which intervention would the nurse implement to prevent fetal heart rate decelerations?
A client diagnosed with gestational diabetes is at 36 weeks of gestation. The client has had weekly reactive nonstress tests for the last 3 weeks. This week, the nonstress test was nonreactive after 40 minutes. Based on these results, the nurse would prepare the client for which intervention?
The nurse is administering magnesium sulfate to a client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client?
When the nasogastric (NG) tube of a client diagnosed with acute pancreatitis stops draining, which intervention would the nurse implement to maintain client safety?
The nurse is planning to give a tepid tub bath to a child experiencing hyperthermia. Which action would the nurse plan to perform?
The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child’s surgical incision?
A client is in ventricular tachycardia and the primary health care provider prescribes intravenous (IV) lidocaine. The nurse would dilute the concentrated solution of lidocaine with which solution?
A client being treated for a bowel obstruction is receiving total parenteral nutrition (TPN) via a central venous catheter (CVC) and is scheduled to receive an intravenous (IV) antibiotic. Which intervention would the nurse implement before administering the antibiotic?
The nurse monitoring a postoperative client would recognize which behaviors as indicators that the client is in pain? Select all that apply.
A client who experienced a stroke and has dysphagia is receiving enteral nutrition. The nurse plans care considering which conditions that place the client receiving enteral nutrition at increased risk for aspiration? Select all that apply.
A client, experiencing a sudden onset of chest pain and dyspnea, is diagnosed with a pulmonary embolus. The nurse immediately implements which expected prescriptions for this client? Select all that apply.
A client is scheduled to have a percutaneous transluminal coronary angioplasty (PTCA) to treat coronary artery disease. What information about the balloon-tipped catheter would the nurse plan to include when providing client education concerning the procedure?
The nurse is caring for a client who has been placed in skin traction to treat a femur fracture. Which action by the nurse provides for countertraction to reduce shear and friction?
The nurse is preparing to initiate a bolus enteral feedings via nasogastric (NG) tube to a client. Which action represents safe practice by the nurse?
The nurse is learning the procedure for inserting a nasogastric (NG) tube and is being supervised while inserting the tube into a client with a bowel obstruction. The nurse inserts the tube to the level of the oropharynx and has repositioned the client’s head in a flexed-forward position. The client has been asked to begin swallowing, but as the nurse starts to slowly advance the NG tube with each swallow, the client begins to gag. Which action if taken by the nurse at this point would indicate a need for further instruction regarding the insertion of an NG tube?
The nurse is caring for a client with a terminal condition who is dying. Which respiratory assessment findings would indicate to the nurse that death is imminent? Select all that apply.
An infant diagnosed with spina bifida cystica (meningomyelocele type) has had the sac surgically removed. The nurse plans which intervention in the postoperative period to maintain the infant’s safety?
The nurse is assessing a client with a history of angina who is being treated with a beta-adrenergic blocker. Which assessment findings would indicate that the client may be experiencing dose-related side effects of the medication? Select all that apply.
A client at risk for respiratory failure is receiving oxygen via nasal cannula at 6 L/min. Arterial blood gas (ABG) results indicate pH 7.29, Pco2 49 mm Hg, Po2 58 mm Hg, and HCO3 18 mEq/L. What intervention would the nurse anticipate that the primary health care provider will prescribe for respiratory support for this client?
The nurse is preparing to assess the respirations of several newborns in the nursery. The nurse performs the procedure and determines that the respiratory rate is normal if which finding is noted?
During a routine prenatal visit, a client in her third trimester of pregnancy reports having frequent calf pain when she walks. The nurse suspects superficial thrombophlebitis and checks for which sign associated with this condition?
The nurse evaluates the patency of a peripheral intravenous (IV) site and suspects an infiltration. Which action would the nurse take to determine if the IV has infiltrated?
A client who has sustained a neck injury is unresponsive and pulseless. What would the emergency department nurse do to open the client’s airway?
The nurse is caring for a child diagnosed with Reye’s syndrome. The nurse monitors for manifestations of which condition associated with this syndrome?
The nurse admits a client with a suspected diagnosis of bulimia nervosa. While performing the admission assessment, the nurse expects to elicit which data about the client’s beliefs?
The nurse is caring for a client who develops compartment syndrome as a result of a severely fractured arm. When the client asks why this happens, how would the nurse respond?