Nclex-Rn Readiness Test 1

The nurse is caring for a client receiving a continuous infusion of isotonic fluids and observes infiltration at the vascular access device. The nurse should take which action?

2000: 85-year-old male receiving mechanical ventilation for a severe chronic obstructive pulmonary disease (COPD) exacerbation. Client was found at home with an oxygen saturation of 79%, cyanotic, and

The home health nurse is caring for a client who experienced a myocardial infarction two weeks ago. Which of the following client statement requires immediate follow-up?

1355: Client was brought to the ED by the client's adult children, who reported that while she was visiting, she reported dizziness and seemed slightly confused. The adult child reports that the sympt

The nurse is assessing a client in labor and observes a fetal heart rate of 190 beats per minute. The nurse should take which appropriate action? Select all that apply.

The nurse is caring for a client experiencing prolonged labor with hypotonic contractions. Which of the following actions should the nurse take? Select all that apply.

As the nurse in the delivery room caring for a newly born infant, you observe the infant's initial assessment. Which of the following signs would indicate that positive-pressure ventilation is needed?

The nurse is teaching a continuing education course regarding cardiovascular medications. It would be appropriate for the nurse to reinforce which condition is a contraindication to administering calc

The nurse cares for a 48-hour-old newborn who has not yet passed stool since delivery. The nurse understands that the client is at highest risk for which conditions? Select all that apply.

A nurse is caring for a client with a suspected bowel obstruction who requires a nasogastric (NG) tube insertion. ➢ Place the following actions in the order in which they need to be performed, startin

The nurse cares for a client who reports dumping syndrome following gastric bypass surgery. ➢ To alleviate the symptoms of dumping syndrome, the nurse should recommend that the client Select all that

The nurse has received a prescription for an oral bisphosphonate for a client with osteoporosis. Which finding in the client's medical history would contraindicate the administration of this medicatio

1349: 19-year-old female admitted inpatient following being rushed to the emergency department via EMS. For the past two months, she has intensified her training and trains for several hours during th

A nurse is caring for a client admitted to the emergency department with suspected rhabdomyolysis. ➢ Which of the following findings would the nurse anticipate in a client with this condition?

The nurse is caring for a client with thick, tenacious mucus due to cystic fibrosis who is prescribed acetylcysteine. What is the primary therapeutic effect of acetylcysteine in this situation?

The nurse has attended a staff education program about immunizations. ➢ Which of the following statements by the nurse would indicate a correct understanding of the teaching?

The nurse reviews the client's clinical data. ➢ Which action should the nurse take based on the clinical data? Select all that apply.

The nurse in the mental health unit is assessing a client with moderate anxiety. ➢ The nurse would anticipate which signs and symptoms to support this finding? Select all that apply.

Day 101433: Discharge client home Client should follow up with psychiatry in two weeksDischarge prescription: paroxetine 25 mg extended-release p.o., dailyContinue home medications of lurasidone and

The nurse is teaching a client who is scheduled for an exercise electrocardiography (ECG) test. ➢ Which of the following statements by the client would require follow-up?

1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents repo

1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents repo

1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents repo

1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents repo

1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents repo