NCLEX READINESS EXAM TEST BANK LATEST

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NCLEX READINESS EXAM TEST BANK LATEST

UPDATE THIS YEAR ALL WITH COMPLETE 850

QUESTIONS AND WELL ELABORATED ANSWERS

JUST RELEASED

QUESTION: A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up visit after beginning medication therapy. The client states, "I've had really bad nausea and fatigue, but because my cough has already improved, I knew it would be alright to stop taking the medications." The nurse identifies which priority nursing diagnosis (ND) in this client's care plan?

• Activity intolerance
• Imbalanced nutrition, less than body requirements
• Knowledge deficit of prescribed therapeutic regimen
• Nausea - ANSWER✔✔3. Knowledge deficit of prescribed therapeutic regimen

QUESTION: A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease. The nurse should alert the health care provider (HCP) for which assessment finding postoperatively?

• Moderate amount of blood-tinged mucus from the stoma on postoperative day 2
• Small amount of non-formed stool in the colostomy bag on postoperative day 6
• Stoma bleeds a small amount during colostomy bag change on postoperative day 3 1 / 4

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• Stoma is gray-tinged at the edges but pink at the center on postoperative day 5 -

ANSWER✔✔4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5

QUESTION: The nurse is caring for a client newly admitted with an acute manic episode of bipolar disorder. The nurse identifies which dinner selection as the most appropriate to promote client nutrition?

• Baked sweet potato, kale, yeast roll, water
• Cheeseburger, apple, vanilla milkshake
• Spaghetti with meatballs, fruit salad, milk
• Vegetable soup, salad, dinner roll, iced tea - ANSWER✔✔2. Cheeseburger, apple, vanilla

milkshake

QUESTION: A 9-year-old has terminal cancer, but the parents do not want the child to know the prognosis. The child has been asking questions such as what dying is like and whether the child will die. Which action by the nurse is most appropriate?

• Encourage the child to ask the parents these questions
• Notify the health care provider (HCP) about the child's questions
• Reassure the child that everyone is trying to help the child get better
• Tell the parents about the child's questions - ANSWER✔✔4. Tell the parents about the child's

questions

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QUESTION: The nurse is caring for a client after percutaneous placement of a coronary stent for a myocardial infarction. The client reports 5/10 lower back pain and has a blood pressure of 140/92 mm Hg. The cardiac monitor shows normal sinus rhythm with occasional premature ventricular contractions. Which prescription should the nurse administer first? Click on the exhibit button for additional information.

• Captopril PO every 8 hours
• Morphine IV PRN for pain
• Potassium chloride IV once
• Regular insulin subcutaneous with meals - ANSWER✔✔3. Potassium chloride IV once

QUESTION: A client with chronic kidney disease has received a continuous intravenous infusion of heparin for 5 days. The nurse reviews the coagulation studies and the medication administration record. Which prescription would the nurse question?

• Epoetin
• Sodium polystyrene sulfonate
• Vitamin K
• Warfarin - ANSWER✔✔3. Vitamin K

QUESTION: Which client should the nurse assess first?

• Client with atrial fibrillation with a new prescription for warfarin
• Client with chronic obstructive pulmonary disease with an oxygen saturation of 91% 3 / 4

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• Client with postoperative pain rated 8 out of 10
• Client with third-degree heart block with a pulse of 42/min - ANSWER✔✔4. Client with third-

degree heart block with a pulse of 42/min

QUESTION: The nurse in the emergency department receives report on 4 clients. Which client should be seen first?

• 5-year-old with an accidental epinephrine auto-injector stick and a heart rate of 124/min
• 7-year-old who is crying, has vaginal lacerations and bruising, and has a heart rate of 118/min
• 10-year-old with a large, draining abscess on the left buttock and a temperature of 101.2 F

(38.4 C)

• 14-year-old who is lethargic after playing a football game and has a temperature of 104.1 F

(40.1 C) - ANSWER✔✔4. 14-year-old who is lethargic after playing a football game and has a temperature of 104.1 F (40.1 C)

QUESTION: What intervention is essential prior to starting a client on atorvastatin therapy?

• Assessing for muscle strength
• Assessing the client's dietary intake
• Determining if the client is on digoxin therapy
• Monitoring liver function tests - ANSWER✔✔2. Assessing the client's dietary intake
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