NURSING STUDENTS - a patient with a thrombotic stroke with residua...

NCLEX-RN

ASSESSMENT FOR

NURSING STUDENTS

VERSION 1

2023/2024

• Which action(s) should you delegate to the experienced nursing assistant when caring for

a patient with a thrombotic stroke with residual left-sided weakness? A. Assist the patient to reposition every 2 hours. o B. Reapply pneumatic compression boots. o C.Remind the patient to perform active ROM

• A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A

nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? Elevated serum calcium

• A client with acute asthma is experiencing inspiratory and expiratory wheezing, and

decreased forced expiratory volume. What is the nurse’s priority intervention?Bronchodilators

• Which of the following is a contraindication for use of oxytocin to induce labor Placenta

previa

• Which classification of drugs is contraindicated for the client with hypertrophic

cardiomyopathy? Positive inotropes

• Which of the following clients is at a higher risk of developing oral health problems?

client with diabetes c. A client receiving chemotherapy

• The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days

ago. Upon assessment, the nurse identifies a systolic murmur at the apex. The nurse

should first: Assess for changes in the vital signs.

• To appropriately monitor therapy and client progress, the nurse should be aware that

increased myocardial work and O2 demand will occur with which of the following?Positive inotropic therapy

• A nurse was instructed by a physician to give clarithromycin (Biaxin) for a child whose

BSA is 0.55 m2. The usual adult dose is 500 mg. Biaxin is available in an oral suspension. The 100ml bottle is labeled 50 mg/ml. How many ml would the nurse give

per dose? 3.2) mL.

• The patient who had a stroke needs to be fed. What instruction should you give to the

nursing assistant who will feed the patient? Position the patient sitting up in bed before you feed her.

• A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the

following diet modifications is not recommended? A restricted sodium diet.

• A nurse preceptor is observing a new graduate during care of a client in contact isolation.

Which action by the new graduate indicates a need for further teaching about handling infectious materials? The nurse uses alcohol gel to clean her hands after changing linen soiled with urine and feces

• Which of the following insulin cannot be mixed with any other type of insulin? Insulin

glargine