NCLEX style questions PN Fundamentals Final Review

NCLEX style questions PN Fundamentals Final Review ScienceMedicineNursing Miranda_AJ Save Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview nclex pn fundamentals 100 terms andria_montgomery Preview Nclex questions for Fundamentals o...71 terms Maggie84_Preview Nursing 216 term bia Learn1 / 7Study with Learn When a nurse observes that a client with upper abdominal pain is curled in a fetal position and rocking back and forth, which action would help most to further assess the clients pain? Assess the client physically When managing the care of a client, which of the following nursing actions is most appropriate to preform first? Choose an answer measure client's blood pressure check client's heart rate ask client to rate pain form 0 to 10 assess the client physically Don't know?

gather basic information from the client According to most nurse practice acts, if a charge nurse assigns a LPN to admit a new client, what is the practical nurses primary role?ineffective airway clearance At a team conference, staff members discuss a clients nursing diagnoses. Which one of the following nurse diagnoses is of highest priority?revise the interventions or target date for achieving the goal The LPN notes that an expected outcome of bathing independently has not been reached by the target date. What action is most appropriate to take at this time?the clients family When gathering nursing date on a newly admitted client, which of the following is an appropriate source to consult for additional information?nurse writes names of clients on dry erase board in public area Which practice could jeopardize the health agency's accreditation?writer squeezes information into a line written hours earlier Which example of poor documentation places the writer in the most legal jeopardy?charting by exception Which method of documentation is used when the nurse charts only abnormal assessment findings or care that deviates from the agency's standard?client has a highly contagious disease For which of the following situations is breaching confidentiality appropriate ?analysis When using the SOAP method of documentation, what does the "A" represent?15 seconds What is the minimum amount of time required for performing an alcohol-based hand rub?the fingernails are less than 1/4 inch, the nurse removed all remnants of fingernail polish, rubs tips pf the fingers against the opposite palm containing an alcohol-based product Which of the following are appropriate aseptic practices in relation to hand hygiene?

cease sharing towels and washcloths What is the most important health teaching the nurse can provide to a client with an eye infection?swab earlobes daily with alcohol If the nurse provides the following information to a person who has just had his or her earlobes pierced, which is most important for reducing the potential infection?the nurse performs hand hygiene, picks up first glove cuff at folded edge with fingers and thumb, pulls glove on without touching the gloves outer surface When donning sterile gloves, which actions are correct?appearance of respiratory secretions Besides documenting the characteristics of the cough, what other assessment information is essential?move up and down beginning in the axilla Which explanation is best when teaching a client how to palpate breast tissue during a breast self examination?assessing the clients pupillary responses A nurse caring for a client with a head injury performs all of the following assessments. Which one is most important at this time?fifth intercostal in the left mid clavical Where is the best location for the nurse to auscultate an S1 heart sound?read the letters standing at a distance of 20 feet What is the most accurate instruction a nurse can provide before using a Snellen chart to assess a client's vision?client says an anesthetic will be given before the examination Which of the following indicates that a client needs more teaching before a sigmoidoscopy?remove clients metal necklace Which nursing action is essential before performing a chest roentgenogram (X-ray)?do not douche for several days before appointment Which of the following instructions is most appropriate if a specimen for a Pap test will be obtained at the time of a pelvic examination?wash hands, test strip matches, strip matches meter, cover strip completely Which of the following actions are correct when measuring a clients capillary blood glucose?

ask client to rate pain form 0 to 10 When a nurse observes that a client with upper abdominal pain is curled in a fetal position and rocking back and forth, which action would help most to further assess the clients pain?phantom pain What type of pain is a client with an amputated arm experiencing who states " I know my arm is not there, but I can feel it throbbing?" pulse rate may be rapid A nurse can expect that acute pain may have which of the following effects on the clients vital signs?administer pain medication every 3 hours as prescribed Which of the following is the best action for a hospice nurse to take to provide maximum pain relief when caring for a client with terminal cancer?antidepressants, anticonvulsants Which of the following categories of medications would be considered adjuvants?client becomes restless When a client returns from surgery, which sign is an early indication that the clients oxygenation status is compromised?95% to 100% If a client is adequately oxygenated, in what range should a pulse oximeter identify as the Sp02 measurement reservoir bag collapses during inspiration When administering oxygen with a partial rebreather mask, which of the following observations is most important to report to the respiratory therapy department?

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Which of the following oxygen flow rates is most appropriate for a client with emphysema, a chronic lung disease?the fluid rises and falls with respirations When the nurse monitors the water-seal chamber of a commercial chest tube drainage system that is draining by gravity, which finding suggests that the system is functioning appropriately?wear gloves When a nurse empties the secretions from a wound suction container, which of the following infection control measures is most important?