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NCLEX EXAM PREVIEW
110 terms kandykat1012Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview NCLEX RN Test 1 2024-2025 Teacher 312 terms TutorDkPreview NCLEX 113 term lala The nurse is administering a magnesium sulfate infusion to a preeclamptic client and is preparing to administer a new bag.Which of the following findings would require immediate follow-up?
- Respiratory rate of 10
- Continuous headache
- Blurred vision and flashes of light
- Urinary output 120 mL over 4 hours
- Blurred vision and flashes of light
The nurse is teaching a client with atrial fibrillation who is newly prescribed apixaban.Which of the following client statements would indicate understanding?
1."It's normal for this medication to make my stool darker." 2."I will need my blood drawn several times a week at first." 3."I should never skip or double any doses of this medication." 4."Taking ginkgo biloba with this medication can make it more effective." 2."I will need my blood drawn several times a week at first."
The nurse is caring for a client who recently started taking rifampin as part of a multi-drug regimen for active tuberculosis (TB).Which of the following findings should receive the highest priority?
1.The client's sclera and skin appear yellow.
2.The client's contact lenses are stained red.
3.Client's repeat sputum culture is still positive for TB.
4.The client struggles to remember to take medications daily.
3.Client's repeat sputum culture is still positive for TB.The nurse is planning a staff education program about electroconvulsive therapy (ECT).Which of the following information should the nurse include?
1.Educate clients to eat a well-balanced meal prior to arriving for this procedure.
2.Clients can drive themselves home from this procedure after a short recovery period.
3.Clients should frequently be reoriented following ECT because confusion is common.
4.Bone fractures are a common injury because of the seizure activity induced during ECT.
3.Clients should frequently be reoriented following ECT because confusion is common.The nurse has been made aware of the following client situations.
- 75-year old with A fib and has metoprolol due
- 6 year old with bacterial endocarditis and hr of 105
- 57 year old with hypokalemia with frequent artifact on the tele monitor
- 17 year old with anorexia nervosa with a HR of 50 and has not eaten today
- 6 year old with bacterial endocarditis and hr of 105
The nurse should first assess the client
The nurse is planning a staff education program about tuberculosis (TB).Which of the following information should the nurse include?
1.Two clients with TB can share the same room.
2.Clients should be placed in a positive pressure room.
3.A surgical mask must be worn within 6 feet of the client.
4.Clients need to wear a surgical mask when being transported.
1.Two clients with TB can share the same room.
The nurse is caring for multiple clients in the emergency department.Which of the following client conditions would require the nurse to implement droplet precautions? Select all that apply.
1.Pulmonary tuberculosis with hemoptysis 2.Herpes simplex virus lesions on the mouth and nose 3.Diarrhea with stool culture positive for E. coli O157.H7 4.Myalgias, chills, rigors, and a productive cough for 2 days 5.Sore throat with culture positive for group A Streptococcus The nurse is administering an enema to a client when the client reports painful cramping.Which of the following actions should the nurse take?
1.Change the client's position to prone.
2.Advance the tube further into the colon.
3.Pause instillation and lower bag before resuming.
4.Discontinue instillation and notify health care provider.
3.Pause instillation and lower bag before resuming.The nurse is screening clients for those at risk for colorectal cancer.At highest risk for colorectal cancer is the client who 1.has dysphagia after experiencing a stroke 2.takes ibuprofen daily for chronic joint pain 3.consumes a diet high in red and processed meats 4.lost 200 lbs (90.7 kg) after a gastric bypass surgery 3.consumes a diet high in red and processed meats
The intensive care unit nurse is supervising a coworker who is initiating a norepinephrine infusion for a client with septic shock.Which of the following actions by the coworker would demonstrate appropriate understanding of norepinephrine administration?
1.Waits to initiate norepinephrine until after blood cultures have been collected 2.Discontinues norepinephrine once the client's mean arterial pressure is ≥65 mmHg 3.Starts the norepinephrine infusion at the lowest dose and titrates up every 3-5 minutes 4.Infuses the norepinephrine through an 18-gauge peripheral venous access device (VAD) 3.Starts the norepinephrine infusion at the lowest dose and titrates up every 3-5 minutes The nurse is educating a client with insomnia about the importance of sleep hygiene.Which client statements indicate that the teaching was effective? Select all that apply.
1."I shouldn't lift weights late in the evening." 2."A light snack before bed is okay if I'm feeling hungry." 3."When I read at night, I should sit in my chair and not in my bed." 4."I can take diphenhydramine every night to ensure quality sleep." 5."I should go to bed by 9 p.m. and lay there to help make myself sleepy." The nurse is caring for a 17-year-old client who was brought to the emergency department by his mother after sustaining head and neck trauma.Which of the following actions should the nurse take first?
1.Immobilize the cervical spine.
2.Provide supplemental oxygen.
3.Obtain a thorough history of injury.
4.Complete a neurological assessment.
1.Immobilize the cervical spine.The nurse is administering a vaccine to an 18-month-old child.Which of the following statements by the nurse demonstrates appropriate communication with a toddler-aged client?