NCLEX RN uworld 06 Questions and

NCLEX RN uworld #06 Questions and Answers 100% Pass

The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is MOST APPROPRIATE for the charge nurse to assign to the L&D nurse? #72116868 (14)

• Child with an occluded arteriovenous fistula receiving IV heparin infusion.
• Client with cirrhosis and ascites who requires bedside paracentesis.
• Client with diabetes who is one day postoperative below-the-knee amputation.
• Client with pyelonephritis who is febrile and receiving IV antibiotics ✔✔4

frequently care for pregnant woman with urinary tract infections and would be familiar with the management of a client with pyelonephritis. #72116868 (14) ✔✔labor and delivery (L&D)

A client is admitted with SICKLE CELL CRISIS has a hemoglobin level of 9 g/dL. The client reports severe pain in the back and leg joints. The nurse would anticipate which of the following ?"SELECT ALL THAT APPLY " #72116868 (15)

• Folic acid supplements

• Folic high in Iron
• Ice packs to painful joints
• Intravenous hydration
• Intravenous morphine ✔✔1,4,5

treatment are narcotic analgesia, aggressive hydration, oxygenation and folic acid, not iron supplementation. ✔✔sickle cell crisis

reduces the viscosity of the blood and prevent sickling. Ice pack should not be applied to swollen joints. #72116868(15) ✔✔Hydration

The nurse is performing a physical examination on a 10 year old client with abdominal discomfort. Which actions would be APPROPRIATE during the examination? "SELECT ALL THAT APPLY"

#72116868 ( 16)

• Ask the accompany parent to rate and describe the client's pain.
• Ask the client to describe the the chief symptom.
• Conduct a head-to-toe assessment in the same manner as an adult assessment

• Explain the outcome of the examination to the parent without the child present
• Honor the client's request to be examined without a parent consent. ✔✔2,3,5

The client screams at the nurse, "you are all incompetent here , I have been waiting for 2 hours"How should the nurse respond "INITIALLY"?

• "I know you are upset, but I will have to call security if you continue to scream." #72116868

(17)

• "I see that you are upset. Let's focus on how I can help you."
• "I want you to know that the health care providers (HCP) are all well-qualified professionals."
• "It is frustrating to wait so long, and I am sorry for the delay." ✔✔4

The school nurse creates a cafeteria menu for a newly enrolled child with CELIAC DISEASE.Which lunches would be APPROPRIATE for this child? "SELECT ALL THAT APPLY"

#72116868 (18)

• Beef barley soup with mixed vegetables and French bread.
• Grilled chicken, baked potato, and strawberry yogurt.
• Mexican corn tacos with ground beef and cheese

• Peanut butter and jelly on rice cakes with an oatmeal cookie
• Rice needles with chicken and broccoli ✔✔2,3,5

is an autoimmne disorder in which an individual cannot tolerate gluten, a protein found in barley, rye, oats and wheat (BROW). Rice, corn and potatoes are allowed in the diet and can be used as grain substitutes. #72116868 (18) ✔✔Celiac disease

The mother of a 6 year old child with CYSTIC FIBROSIS (CF) has received instruction on the use of pancreatic enzymes. Which statement made by the mother indicates a "NEED FOR FURTHER TEACHING" #72116868 (19)

• "I need to monitor the total amount of this medication that I give to my child everyday."
• "I should give this medication with or just before my child has a meal or snack."
• "It is okay for my child to chew this medication."
• "It is okay to open the capsule and sprinkle the medicine on a tablespoon of applesauce." ✔✔3

are used to aid the absorption of carbohydrates, fats and proteins in a child with CF. They are taken with or just before every meal ( not as needed) , should be swallowed whole or sprinkled on an acidic food and should not be crushed or chewed. They should not be taken with milk.