Comprehensive and Predictive NCLEX-style examination with 50 updated questions. Passing score: 70%
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A mother comes to the clinic with her 4-month-old for routine immunizations. The nurse anticipates which of the following immunizations will be administered during this visit? Select all that apply.
The nurse is screening clients waiting to receive an influenza vaccine. Which client would the nurse question receiving the vaccination?
The nurse understands that which of the following immunizations leads to long-lasting immunity?
The nurse understands that which of the following hormones have an effect on the development of puberty in girls and boys? Select all that apply.
A surgical client has progressed from a clear liquid to a full liquid diet. What can the client have for nutrition? Select all that apply.
A client with end stage renal disease client has been non-adherent with the prescribed renal diet. Which abnormalities would the nurse expect? Select all that apply.
The nurse is caring for a client diagnosed with gout. Which dietary restriction does the nurse expect?
A client has been on a self-imposed diet of 700 calories. The client tells the nurse she wants to rapidly lose weight. What is important information for the nurse to know to respond to the client?
What is the most serious effect of long-term exposure to lead in children?
A preschool aged child is admitted to the emergency department after ingesting an undetermined amount of acetaminophen within the past 6 hours. Which lab test should receive priority attention by the nurse?
The nurse has administered the first hepatitis A vaccine to a 12-month-old. The nurse should teach the parent to return for the toddler’s second dose of the hepatitis A vaccination when the child is how old?
A 6-year-old client has just received his first vaccination for hepatitis B. Which action by the parent would demonstrate understanding of immunizations for Hepatitis B?
The nurse is preparing a client for surgery. Which pre-surgery laboratory result would indicate a need to contact the surgeon?
Which client would be at an increased risk for the development of a pulmonary embolus?
The nurse is preparing to talk with a child about an upcoming diagnostic procedure. What is a priority to consider when communicating with the child?
The nurse understands that the following approaches would be helpful when introducing hospital equipment to a preschooler. Select all that apply.
The nurse is opening a sterile pack for a sterile procedure to be conducted in the client’s room. When opening the pack, which flap or side will the nurse open last? Refer to figure.
What is the earliest age at which a radial pulse can be taken in children?
When taking the blood pressure of a small child, the nurse notes that of the cuffs available, one is too large and one is too small. What would be the best nursing action?
When examining the mouth and throat of a child, the nurse understands which of the following? Select all that apply.
The nurse is caring for a child who is in the end stages of cancer. The parents ask you how they will know when death is imminent. What sign is indicative of imminent death?
The nurse is entering the room of a client admitted for back pain. He asks the nurse if she could give him something for pain. Which of the following should the nurse do first?
The nurse is preparing a client for the administration of an epidural anesthesia prior to a minor surgical procedure. The IV fluid is infusing at 125 mL/hr. The nurse reviews the laboratory results and notes the following: hemoglobin value is 12 g/dL (120 mmol/L), hematocrit is 38%, platelet count is 57,000/mm3 (57 × 109/L), and WBC count is 10,000/mm3 (10 × 109/L). Which clinical finding would cause the nurse the most concern?
A client has undergone surgery and received morphine sulfate in the postanesthesia care unit (PACU). About 30 minutes after receiving the medication, the client becomes stuporous, has constricted pupils, and the respiratory rate drops to 8 breaths/min. What medication should the nurse anticipate administering?
A client with cancer experiences breakthrough pain, which she describes as a level 8 or 9. She is experiencing increased anxiety regarding her pain control. She has been receiving sustained-release morphine sulfate. For optimum pain control, which medication will the nurse administer for this type of pain?
A child is receiving IV morphine prn following surgery. The child is quietly coloring and playing with her dolls. When the nurse goes in to assess the vital signs, the child complains of pain. What is the nurse’s evaluation of this situation?
The nurse is providing teaching to a new mother about the following medications. It is important for the mother to understand that which medication has been implicated in the development of Reye syndrome?
The nurse understands that the long-term use of NSAIDs may impair the client’s ability to clot as a result of
A client returns from surgery. Which data obtained during assessment would indicate the client is experiencing severe pain?
The nurse is caring for a client with postoperative repair of an aortic aneurysm. What is a nursing concern regarding a postoperative internal hemorrhage?
Before initiating a preoperative teaching plan for a client scheduled for craniotomy, what is a priority nursing assessment?
The nurse plans to explain preoperative procedures, the operating room, the recovery room, and postoperative procedures to a 6-year-old girl. Which intervention is implemented first?
The preoperative teaching plan for a client scheduled for a right lower lobe (RLL) lobectomy includes deep breathing and coughing. What should the nurse teach the client regarding coughing and deep breathing?
A client does not want to remove a wedding band before surgery. What is the best nursing intervention?
The nurse is assisting an older adult client to get out of bed for the first time after surgery. What type of chair should the nurse have available?
A client had a colon resection 3 days ago. She has been tolerating ice chips after having the nasogastric tube and IV removed. In planning the diet for this client, what food or fluid would the nurse give next?
The nurse is assessing an older client during the immediate postoperative period after abdominal surgery. The nurse notes that the left foot is warm and pale and that there is no palpable pedal pulse. Which action should the nurse perform next?
A primary nursing intervention to prevent postoperative respiratory complications would include which preoperative teaching?
While preparing a client for a scheduled surgery, the nurse notices the client wringing her hands, moving around in her seat, and breathing rapidly. The nurse does a physical assessment and finds a rapid pulse of 128 beats/min with moist, clammy skin. The client states, “I’m so nervous.” Which prn medication should the nurse consider administering to the client?
The nurse is monitoring a client who is receiving bedside conscious sedation with midazolam hydrochloride during a colonoscopy. The nursing assessment reveals the client has nystagmus, slurred speech, and responds slowly to verbal commands. What is the best nursing action?
The nurse is providing postoperative care for a client after repair of a fractured hip. The nurse has administered the ordered pain medication, but the pain remains at a level of 8 out of 10. Which medication administration and rationale would be most appropriate in this situation?
The nurse is preparing a 14-year-old client for an outpatient surgery procedure of removal of a cyst on the forearm. Under which circumstance can this client sign the informed consent?
An LPN/VN assists the RN in evaluating the plan of care for client who is postoperative cholecystectomy. What action will both nurses focus on during the evaluation phase?
The nurse observes a mother breastfeeding her 4-year-old child, who is hospitalized. During report, other nurses talk about why a mother would continue to breastfeed a preschool-aged child. They conclude that the American way is better, which is to discontinue breastfeeding at a much younger age. What are the nurses expressing?
Which religious group would most likely refuse a blood transfusion?
An older adult female immigrant tells the nurse that where she grew up women had no voice in the family, because the men made all the decisions. Over the past 20 years since becoming a US citizen, I have the same voice and control in the family that my husband has. What is this an example of?
An older adult who is a member of the Jewish community is hospitalized. Her son has been at the bedside daily. When the nurse tries to communicate with the client and the son, the son avoids eye contact with the nurse. What would be the best nursing measure?
A nurse wants to improve cultural competence. What action shows progress toward this goal?
The nurse is caring for a client who is unconscious and is dying. The family has requested a priest to come. Which of the following sacraments would the family of a Catholic client request at this time?
The clinic nurse answers a phone call from an Asian American client who is experiencing a fever. The client wants to self-treat first before taking an antipyretic medication. What would the nurse suggest to the client?