Bonus NCLEX RN Practice Exam Remar

Bonus NCLEX RN Practice Exam Remar 5.0 (4 reviews) Students also studied Terms in this set (41) Science MedicineNursing Save REMAR NURSE ASSESSMENT 100 qu...104 terms Jellyroll7Preview Remar NCLEX 574 terms miashaoPreview Remar Nurse V2 Study Exam 131 terms Anesha_KingPreview ATI com 198 term h_tr The nurse plans care for a 36-year-old woman with Graves' disease. The nurse knows that which of the following foods or fluids should be restricted for this client?

• Ice cream
• tea
• Orange Juice
• Pasta

b.Great job! Tea is a stimulant and should not be given to the client with hyperthyroidism.The nurse is caring for postpartum clients who had vaginal deliveries within the last six hours. Who should the nurse assess first?A client who has pulse of 76 beats per min The client who has staurated one pernial pad in two hours THe client who reports swelling in her left calf The client who asks about the circumsion procedure of her son D Reports of swelling in the calf 6-10 hours postpartum may be suggestive of the development of a deep vein thrombosis, a potentially life threatening condition.Immediate intervention is needed.

A 47-year-old patient is admitted to the intensive care unit with complications from a stroke 10 hours ago. The stroke was caused by a dislodged clot. The nurse anticipates seeing which of the following on the client's electrocardiogram strip?V Tach Nomral sinus rhtym A fib V Fib A fib ; Great job! Patients with atrial fibrillation are at a high risk for clot formation, these clots can dislodge and travel to the brain.A nurse is working on a long term care unit and is caring for a client on parenteral nutrition. The nurse notices the supplement feeding bag is running low. What fluid should she have on hand?

• 10 % dextrose
• 5% dextrose
• 0.9 NS with dextrose added
• 45% glucose and water

a.Great job! 10% Dextrose is the only acceptable replacement for TPN.A client has just lost an arm in a motor vehicle accident.The client was medicated for pain and tells the nurse. "I was so scared from the pain, I didn't think I was going to make it." Which is the best response by the nurse?you always have medication avaiable do not be afraid of pain I undestand that pain can be frighetning experince why did you think you were going to die?Please take the medcaition before you upset yourself more B Great job! I understand that pain can be a frightening experience is the most therapeutic answer. The nurse should never ask a patient why.A client has been taking imipramine for his depression for

• days. His wife asks the nurse "Why is he still so

depressed?" Which of the following responses by the nurse is most appropriate?

• lets look over this chart to see if there are possible drug

interactions

• it takes 2-4 wewks for the medication to reach its full

ecfect

• the severity of the dpression will determine how soon

the medicaiton works I will have the physcican speak with you concerning this medicaton Great job! It takes 2-4 weeks for the drug to reach its full effect. Long term medications usually take a some time to start working.

A nursing working in a local community clinic has received report on four clients who should she see first?

• a 15 year old with chicken pox and cannot attend

school

• a 22 year old, pregnant, unemployed and has active

pulmonary tuberculosis

• a 32 old client in a recovery from heroine addiction
• a 78 with moderate alzheimers disease living in a

nursing facility.

2.Great job! This client's care requires immediate attention. The pregnant client needs to be given antibiotics and education on how to prevent spreading the disease.The nurse is teaching a group of parents about the expected growth and development of three year old children. Which of the following activities should be expected?

• ride a tricyle indepdendtly
• play together in a group of 4 with one being the leader
• have a vocabulroy of 1,000 words
• know the difference between what is real and what is

unreal.

• Great job! By the age of 3, a toddler should be able to ride a tricycle

independently; the pre- school child is not able to discriminate between fantasy and reality. This is the developmental task of a school age child; at 3 years of age the vocabulary is at about 900 words; cooperative play with the incorporation of imaginary friends is common in this age group.

CONTINUE

A nurse has just received a patient who is 2 hours post hernia repair from the PACU. Upon doing the primary survey she notices the abdominal incision eviscerates. The nurse should do which of the following first?

• Begin a bolus of normal saline
• cover the incision with a dressing moistened with

normal saline -put the patient in the reverse trendlenburug position -assess the client's pain and call the physician b.Great job! The eviscerated bowel should be covered with moistened sterile dressings. It is critical to avoid the temptation to re-insert the eviscerated bowel back into the abdominal cavity.A client is recuperating after a myocardial infarction and wants to increase his activity. The nurse should monitor the patient for which of the following conditions while he engages in increased activity?-dyspnea -weight gain -edema -crackles a Great job! Shortness of breath is an indication the client is unstable. This may be expected after a heart attack.A licensed practical nurse is reporting to the emergency department for a float assignment. The charge nurse knows which patient is most appropriate to give the LPN?

• a client who is awaitng to be admitted for unrelieved

chest pain x

• a client who was admitted 6 hours with hemophilia
• a client with burns to the face and neck

-a client awaiting surgery for a brain aneuyrsm x

The nurse is preparing a client who is newly diagnosed with Biermer's disease. Which is the first step in the teaching process?

• chose the best reading materials

-determine the learning needs of the client -set the priorities of the learning needs -determine the goals of the teaching enviorment

• Excellent job! The first step in the teaching process is determining the learning

needs of the client.A nurse is reporting for duty. She has just received report on four clients. Which should she see first?

• a patient on nitrogylcernin drip

-a patient on morphine drip

• a patient on a potassium drip

-a patient on magneisum drip

• Morephine

Great job! The client on the morphine drip has an increased risk of depressed respirations and should be assessed first.The nurse on a pediatric unit is taking the vital signs of a 5

year old client. The nurse obtains the following readings:

temperature 98.2°F, pulse 108, respirations 21, blood

pressure 85/60. The nurse should:

• document the findings

-notify the physcian -wait 5and retake the vital signs -ask the parents waht is the normal child vital sign these are noaml An infant with spina bifida is being hospitalized. The mother wants to feed the child. Which position is most appropriate?supine semi-fowlers prone lying flat with legs elevated prone Great job! The infant client should be placed in the prone position not to rupture the sac.The school nurse prepares to instruct a group of children about Lyme disease. Which of the following information would be correct?

• lyme disease is better treated with amoxicillin over

doxycycline in the children -lyme disease is caused by contamination from cat feces -lyme disease can be contagious thru skin contact with infected individual -lyme disease can be cause by the inhalation of spores from bird dropping A Great job! Lyme disease is better treated with amoxicillin over doxycycline in children. Lyme disease is transmitted by ticks. The medication causes teeth discoloration.