NCSBN NCLEX Exam Preview Questions

NCSBN NCLEX Exam Preview Questions 40 studiers today 4.0 (8 reviews) Students also studied Terms in this set (36) Science MedicineNursing Save

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NCLEX EXAM PREVIEW

110 terms kandykat1012Preview NCLEX 115 terms Dea The nurse is assisting with the admission of a client who is scheduled for a colon resection. Which of the following statements made by the client would be most important for the nurse to clarify?I usually have a few glasses of wine in the evening.Enoxaprincomes in a prefilled syringe from the manufacturer. To ensure complete medication delivery, the air bubble should not be expelled prior to unsection.The nurse is caring for a client who is scheduled to have an arterial blood gas (ABG) sample obtained. Which of the following tests should the nurse anticipate will be performed prior to the procedure?Allen test What is the Allen Test?A test that determines the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery The nurse is contributing to a staff education program about client confidentiality. Which of the following information should the nurse suggest including?

• Unneeded computer-generated worksheets must be shredded at the end of the

shift to ensure client confidentiality.

• Personal computer passwords may not be shared with anyone, including other

members of the client's health care team.

• Keep your voice low when speaking with the client because direct interactions

with clients must be kept as private as possible.The charge nurse in a long-term care facility has been advised that the following assigned clients will be admitted during the shift. The charge nurse should assign the only available private room to the client with A positive varicella-zoster titer (which leads to an airborne precaution)

The nurse is contributing to the plan of care for a client with chronic obstructive pulmonary disease (COPD).Which of the following interventions should the nurse suggest including in the client's plan of care?Provide the client with small, frequent meals, and schedule a rest period before and after meals.Limit simple carbohydratesTable sugar, candy, cake and regular soft drinks.Eats 20 to 30 grams of fiber each day, from items such as bread, pasta, nuts, seeds, fruits, and vegetables.Eat a good source of protein at least twice a day to maintain strong respiratory muscle.The nurse is reinforcing teaching with the parents of a child who is scheduled for surgical repair of hypospadias in 3 hours. The nurse should reinforce that intended

outcomes of the procedure include:

The ability to void while standing.The nurse is caring for a client who has an order for a sputum specimen for culture and sensitivity. Which of the following actions should the nurse take?Place the specimen in the refrigerator until it can be transported to the laboratory.The nurse in a pediatric outpatient care facility has received telephone messages from parents of clients who were previously seen at the facility. The nurse should telephone the parent of a client who has Pneumonia and has pink, frothy sputum.The nurse is caring for a 6-year-old client who is receiving skeletal traction. Which of the following would be a priority for the nurse to monitor?The pull of the traction on the client's pins.The nurse is collecting data from a client with an acute myocardial infarction. Which of the following findings would be consistent with an acute MI?nausea and vomiting, diaphoresis, and dyspnea The nurse is caring for a client who sustained a closed head injury. Which of the following findings would require immediate intervention?Ecchymotic area over the left temple The nurse has attended a staff education program about elder abuse. Which of the following statements by the nurse would indicate a correct understanding of the teaching?A health care worker or family member who threatens to withhold food, water, or medical care is committing a form of abuse.The nurse is caring for a client born 6 hours ago and observes the finding depicted below.Administer oxygen therapy prescribed p.r.n Mongolian spotcommon variation of hyperpigmentation in Black, Asian, American Indian, and Hispanic newborns.The nurse is contributing to a staff education program about confidentiality. Which of the following information should the nurse suggest including?Clients must wait until after discharge to view their medical records.

The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following activities would be appropriate for the nurse to assign to UAP?Applying a condom catheter to the male client with a hip fracture who is incontinent.The nurse is reinforcing teaching with the parents of a 9- year-old child who is receiving methylphenidate. Which of the following information should the nurse reinforce?Increase your child's intake of foods that are high in iron and potassium.The nursing is reinforcing teaching with the parents of a 10-year-old client with a seizure disorder about ketogenic diet therapy. The nurse should reinforce that a ketogenic diet includes foods that are High in fat, contain adequate protein, and are low in carbohydrates The nurse has reinforced dietary teaching with a client who has esophageal varices. Which of the following food choices by the client would indicate a correct understanding of the teaching?

• oz (226.4 g) of vanilla yogurt

The nurse is observing a newly hired nurse administer a client's transdermal patch. The nurse should intervene if the newly hired nurse is observed.Omitting documentation about the location on the client's body where the patch was applied.The nurse is caring for a client who has an order to remove a nasogastric (NG) tube. Which of the following actions should the nurse take?Withdraw the tube quickly while the client holds a deep breath.The nurse is contributing to the plan of care for a client with multiple sclerosis (MS). Which of the following should the nurse recommend be included?limiting the amount of time that the client spends in a hot environment.The charge nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse would provide UAP with the best directions about an assignment?The client is weak on the right side, so please assist the client with dressing and bathing.The nurse is preparing to administer regular insulin to a client. Which of the following routes should the nurse understand can be used to administer regular insulin?intravenous and subcutaneous The nurse is reinforcing teaching about sleep and rest at home for a client who had a vaginal delivery 24 hours ago. Which of the following information should the nurse reinforce?Take a nap when your baby is sleeping.A nurse who is pregnant is assigned to care for a 3- month-old client with respiratory syncytial virus (RSV) pneumonia. The client is receiving ribavirin therapy. Which of the following actions would be most appropriate for the nurse to take?Maintain transmission-based precautions while caring for the client.

The long-term care facility is caring for a 19-year-old client. The nurse has collected data from the client. Which of the following would require immediate follow-up?Pulse, respirations, diaphoresis, and blood pressure The nurse has reviewed the collected data from the

Nurses' Notes at 11:15 with the registered nurse. The nurse

should recognize that the client is potentially experiencing...fecal impaction and autonomic dysreflexia

The nurse has reviewed the Nurses' Notes from 11:30 and

has collaborated with the registered nurse. The nurse should recognize that the client is most likely experiencing...autonomic dysreflexia The long-term care facility is caring for a 19-year-old client. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.

The indicated potential nursing interventions include:

Removing the client's low-top athletic shoes and informing the client that the Crede method will be performed.The long-term care facility is caring for a 19-year-old client. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.The potential nursing interventions that have not been

indicated include:

Placing the client in the left lateral position and requesting a prescription for an over-the-counter (OTC) laxative.symptoms of hypothyroidismBradycardia; cold intolerance; lethargy; memory loss; dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased serum lipids; decreased libido; erectile dysfunction symptoms of hyperthyroidismTachycardia; heat intolerance; fatigue; restlessness; tremor; emotional instability; insomnia; warm, moist skin; increased appetite, weight loss; frequent stools; decreased serum lipids; decreased libido; erectile dysfunction