Fundamentals of Nursing NCLEX PN Adaptive TestExam,

Fundamentals of Nursing NCLEX PN Adaptive Test/Exam, Answered, Latest The nurse manager of the unit comes to work obviously intoxicated. What is the staff nurse's ethical obligation?

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Have the supervisor validate the observation

The nurse reviews a medical record and is concerned that the client may develop hyperkalemia. Which disease increases the risk of hyperkalemia?

• End-stage renal disease

A client reports inability to see the objects that are in close range. This is described by the health care provider as which condition?

• Hyperopia

When providing preoperative teaching, what should the nurse focus primarily on?

• Providing general information to reduce client and family anxiety

A nurse manager is evaluating the performance of the LPN/LVN who is supervising Unlicensed Assistive Personnel (UAP). What action indicates to the nurse manager that the LPN/LVN needs further instruction?

• Asks the UAP to assess the client's response to a respiratory treatment.

Which test helps to assess the neurological system in a client with impaired vestibular system? Select all that apply.

• Past-point test

Romberg test

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen?

• Alcohol

Which quantity of iron, ingested by a child, would be considered in the range of mildly to moderately toxic?

• 35 mg/kg

Which withdrawal symptoms may be observed in a client addicted to opioids? Select all that apply.

• Sweating

Watery eyes

Loss of appetite

A client has an order for a sublingual nitroglycerin tablet. The nurse should teach the client to use what technique when self-administering this medication?

• Place the pill under your tongue and let it dissolve

A nurse assesses a client with dry and brittle hair, flaky skin, a beefy-red tongue and bleeding gums. The nurse recognizes that these clinical manifestations are most likely a result of what?

• A nutritional deficiency

An 80-year-old client is admitted to the hospital because of complications associated with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated, because she is alert and able to care for herself. What is the nurse's best response?

• "The thirst reflex diminishes with age, and therefore the recognition of the need for

fluid is decreased."

A child is being treated with oral ampicillin (Omnipen) for otitis media. What should be included in the discharge instructions that the nurse provides to the parents of the client?

• Complete the entire course of antibiotic therapy.

Which factor can cause early morning awakening and fatigue in older adults?

• Hypertension

A nurse is evaluating the effectiveness of treatment for a client with excessive fluid volume. What clinical finding indicates that treatment has been successful?

• Clear breath sounds

Which parameter does the nurse assess first while assessing a client with severe trauma?

• Airway

Airway is first assessed in a client with severe trauma because inadequate oxygen supply can lead to brain injury that can progress to anoxic brain death. Disability is assessed after the vital signs are assessed. Breathing is assessed after the airway is assessed and cleared. Circulation is assessed after effective breathing is ensured.

Which diagnostic test is performed to assess the functioning of the lacrimal gland?

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Schirmer's test

A nurse receives prescriptions for a newly admitted client and has difficulty reading the health care provider's writing. Who should the nurse ask for clarification of this prescription?

• Health care provider who wrote the prescription

A client has been diagnosed with type 1 diabetes mellitus. When providing instructions on sharps disposal when the patient is at home, the nurse should instruct the client to place used insulin syringes where?

• A plastic liquid detergent bottle with a screw-top lid

A nurse is administering serum albumin intravenously to a client with ascites. In response to this therapy, what does the nurse expect to decrease?

• Abdominal girth

A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits signs of tetany. The nurse concludes that the tetany was precipitated by the inadequate absorption of which electrolyte?

• Calcium

A spouse of a client slips and falls on a wet floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse that witnessed the occurrence take?

• Initiate an agency incident report

The primary health care provider orders a Snellen's test for a client. What could be the rationale for this decision?

• To assess for visual acuity

Which patient population should the nurse identify as having a high risk for amputation associated with the diagnosis of diabetes mellitus (DM)?

• Native American

The Native American population has a high risk for amputation associated with the diagnosis of DM. The other populations (Asian American, Alaskan American, and Hispanic American) do not have a high risk for amputation associated with DM.

Which addictive drug may cause stuffy nose, bronchitis and asthma, lung cancer, decreased testosterone and sperm count, and diminished immune function in chronic users?

• Cannabis

The nurse is caring for a client who underwent a hysterectomy and who is admitted to a general medical-surgical unit. Which tasks can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply.

• Oral hygiene

Assistance with bathing

A nurse is caring for a client with diarrhea. The nurse anticipates a decrease in which clinical indicator?

• Tissue turgor

A client with Type I Diabetes complains of hunger, thirst, tiredness, and frequent urination. Based on these findings, the nurse should take what action?

• Determine the client's blood glucose level