Comprehensive and Predictive NCLEX-style examination with 50 updated questions. Passing score: 70%
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A client diagnosed with left pleural effusion has just been admitted for treatment. The nurse would plan to have which procedure tray available for use at the bedside?
A client has been prescribed procainamide. The nurse implements which intervention before administering the medication to minimize the client’s risk for injury?
A client diagnosed with urolithiasis is being evaluated to determine the type of calculi that are present. The nurse would plan to keep which item available in the client’s room to assist in this process?
The nurse provides dietary instructions to a client with heart failure who needs to limit intake of sodium. The nurse instructs the client that which food items must be avoided because of their high sodium content? Select all that apply.
The nurse is preparing to care for a client postureterolithotomy who has a ureteral catheter in place. The nurse would plan to implement which action in the management of this catheter when the client arrives from the recovery room?
In preparation to administer an intermittent tube feeding, the nurse aspirates 40 mL of undigested formula from the client’s nasogastric tube. Which intervention would the nurse implement as a result of this finding?
To assure the desired results, how would the nurse instruct the client prescribed oral bisacodyl to take the medication?
A client diagnosed with acute respiratory distress syndrome has a prescription to be placed on a continuous positive airway pressure (CPAP) face mask. What intervention would the nurse implement for this procedure to be beneficial?
The nurse is caring for a client scheduled to undergo a cardiac catheterization for the first time. Which information would the nurse share with the client regarding the procedure?
The nurse admitting a client diagnosed with myocardial infarction (MI) to the coronary care unit (CCU) would plan care by implementing which intervention?
The nurse is applying electrocardiogram (ECG) electrodes to a diaphoretic client experiencing tachycardia. Which intervention would the nurse take to facilitate adherence of the electrodes to the skin?
The nurse has developed a plan of care for a client with a diagnosis of anterior cord syndrome. Which intervention would the nurse include in the plan of care to minimize the client’s long-term risk for injury?
The nurse is caring for a client who has experienced a thoracic spinal cord injury. In the event that spinal shock occurs, which intravenous (IV) fluid would the nurse anticipate being prescribed?
A prenatal client is being evaluated for possible gestational diabetes. Which data identified and documented after the nursing assessment would support that diagnosis?
The nurse is caring for a client experiencing severe macular degeneration who will be taught to ambulate with a cane. Before cane-assisted ambulation instructions begin, what would the nurse check for as the priority to assure client safety?
The nurse is assessing a client diagnosed with cardiac disease at the 30 weeks of gestation antenatal visit. The nurse assesses lung sounds in the lower lobes after a routine blood pressure screening. The nurse performs this assessment to elicit what information?
The nurse is caring for a client prescribed digoxin to help manage heart failure. Which manifestations correlate with a digoxin level of 2.3 ng/dL (2.93 nmol/L)? Select all that apply.
Which interventions would the emergency department nurse prepare for in the care of a child diagnosed with croup and epiglottitis? Select all that apply.
A child diagnosed with rheumatic fever is admitted to the hospital. The nurse prepares to manage which clinical manifestations of this disorder? Select all that apply.
A client hospitalized with a diagnosis of thrombophlebitis is being treated with heparin infusion therapy. About 24 hours after the infusion has begun, the nurse notes that the client’s partial thromboplastin time (PTT) is 65 seconds with a control of 30 seconds. What action would the nurse implement?
A client is brought to the emergency department reporting chest pain. Assessment shows vital signs that include a blood pressure (BP) of 150/90 mm Hg, pulse (P) 88 beats/min, and respirations (R) 20 breaths/min. The nurse administers nitroglycerin 0.4 mg sublingually. The treatment is found to be effective when the reassessment of vital signs shows which data?
A client who underwent surgical repair of an abdominal aortic aneurysm is 1 day postoperative. The nurse performs an abdominal assessment and notes the absence of bowel sounds. What action would the nurse take?
The nurse has admitted a client diagnosed with gestational hypertension who is in labor. The nurse monitors the client closely for which complication of gestational hypertension?
Which medication instructions would the nurse provide to a client who has been prescribed levothyroxine? Select all that apply.
The hemoglobin levels of a client in her first trimester of pregnancy are indicative of iron deficiency anemia. Which assessment findings support the diagnosis of this type of anemia? Select all that apply.
A client diagnosed with multiple myeloma is receiving intravenous hydration at 100 mL per hour. Which finding indicates to the nurse that the client is experiencing a positive response to the treatment plan?
The nurse provides discharge instructions to a client who is recovering from testicular cancer surgery. Which instruction would the nurse include?
A multidisciplinary team working with the spouse of a home care client diagnosed with end-stage liver failure is teaching the spouse about pain management. Which statement by the spouse indicates the need for further teaching?
The nurse is reviewing the antenatal history of a several clients in early labor. The nurse recognizes which factor documented in the history as having the potential for causing neonatal sepsis after delivery? Select all that apply.
The nurse performing a prenatal assessment on a client in the first trimester of pregnancy discovers that the client frequently consumes beverages containing alcohol. Why would the nurse initiate interventions immediately to assist the client in avoiding alcohol consumption?
The nurse is admitting a client with a diagnosis of hypothyroidism. What assessment would the nurse perform to obtain data related to this diagnosis?
The nurse is teaching a client diagnosed with chronic obstructive pulmonary disease (COPD) how to do pursed-lip breathing. Evaluation of understanding is evident if the client performs which action?
A client prescribed lithium carbonate for the treatment of bipolar disorder has a medication blood level of 1.6 mEq/L (1.6 mmol/L). Which assessment question would the nurse ask to determine whether the client is experiencing signs of lithium toxicity associated with this level?
The nurse is performing a prenatal examination on a client in the third trimester. The nurse begins an abdominal examination that includes Leopold maneuvers. What information would the nurse be able to determine after performing the assessment’s first maneuver?
The nurse is caring for a client who sustained a spinal cord injury that has resulted in spinal shock. Which assessment will provide relevant information about recovery from spinal shock?
A hospitalized client awaiting repair of an unruptured cerebral aneurysm is frequently assessed by the nurse. Which assessment finding would the nurse identify as an early indication that the aneurysm has ruptured?
The nurse in the mental health unit is preparing to admit a severely depressed client. Which findings on assessment support the diagnosis of this client? Select all that apply.
A client admitted to the hospital is suspected of having Guillain-Barré syndrome. Which assessment findings would the nurse identify as manifestations of this disorder? Select all that apply.
A visiting home care nurse finds a client unconscious in the bedroom. The client has a history of abusing the selective serotonin reuptake inhibitor, sertraline. The nurse would immediatelyconduct which assessment?
The nurse checks a unit of blood received from the blood bank and notes the presence of gas bubbles in the bag. What action would the nurse take?
What is the smallest gauge catheter that the nurse can use to administer blood to an adult client experiencing hypovolemic shock?
A client began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. What is the initial nursing action when the client reports itching and a tight sensation in the chest?
A client has not ingested any food or liquids for 4 hours after two episodes of nausea and vomiting and is dehydrated. What would the nurse offer the client initially now that she or he is no longer nauseated?
A client has just undergone an upper gastrointestinal (GI) series to rule out peptic ulcer disease. Upon the client’s return to the unit, what primary health care provider’s prescriptions does the nurse expect to note as a part of routine postprocedure care?
The nurse prepares the client for the removal of a nasogastric tube that was inserted to treat bowel obstruction. During the tube removal, the nurse instructs the client to take which action?
The nurse is caring for a client being treated for essential fatty-acid deficiency (EFAD) who has a prescription for an intravenous intralipid infusion. What intervention would the nurse implement before hanging the intralipid infusion?
The nurse creates a discharge plan for a client diagnosed with peripheral neuropathy of the lower extremities. Which instructions would the nurse include in the plan? Select all that apply.
A primary health care provider is inserting a chest tube to treat pneumothorax. Which materials should the nurse have available to be used as the first layer of the dressing at the chest tube insertion site?
During a follow-up visit 2 weeks after pneumonectomy to treat lung cancer, the client reports numbness and tenderness at the surgical site. Which statement would the nurse make to accurately address the client’s concerns?
A client, diagnosed with a malignant tumor in the left lung is scheduled for pneumonectomy, tells the nurse that a friend had lung surgery that required chest tubes. The client asks how long to expect chest tubes to be in place. Which statement by the nurse appropriately educates the client about the presence of a chest tube postpneumonectomy?