Nclex-Rn Readiness Test 16

A nurse is caring for a client who has come to the emergency department with frostbite to one of their lower extremities. ➢ Which of the following orders by the healthcare provider would the nurse ant

The nurse is assessing a client with suspected heat stroke. ➢ Which of the following findings would support a diagnosis of heat stroke? Select all that apply.

The nurse is teaching a client scheduled for a dual-energy x-ray absorptiometry (DEXA) scan. ➢ Which of the following information should the nurse include?

Which of the following accurately summarizes the primary purpose of skin care and hygiene?

The nurse is taking care of a client that is scheduled to undergo a gastric analysis at 8:00 AM tomorrow. Which should be included in the client's plan of care?

The nurse who is caring for a post-stroke client suddenly notes that the client has a fixed and dilated pupil. What would be the most appropriate action by the nurse?

A nurse is caring for a client who has Lyme disease. ➢ The nurse should request a prescription for which medication from the primary healthcare provider?

The nurse is performing a head-to-toe assessment for an older adult. Which finding from the integumentary assessment does the nurse recognize as a normal age-related change?

What is the correct documentation of the patient’s peripheral pulse when the finding is that the posterior tibial pulse is weak and thready?

When assessing for dehydration, the nurse should observe for which of the following?

The nurse is performing discharge education to an older adult diagnosed with cataracts. Which of the following statements indicates effective understanding?

The nurse is caring for a client diagnosed with Reye's syndrome. Which of the following over-the-counter (OTC) medications is Reye’s syndrome associated with?

The nurse observes a client with a chest tube connected to a closed drainage system ambulating to the bathroom. During ambulation, the chest tube becomes disconnected from the client.➢ Which action sh

The nurse is assessing a 4-year-old client who was sent to the emergency department from urgent care. Assessment reveals tripod positioning, blue lips, mottled skin, inspiratory stridor, and excessive

The nurse is assessing a client with acute cholecystitis. Which of the following physical assessment findings would be expected?

The nurse is caring for a client in the emergency department, reporting a headache and generalized flushing. The nurse should request a prescription for which medication? See the exhibit for additiona

The nurse is caring for a client with angle-closure glaucoma. ➢ Which prescription should the nurse anticipate from the primary healthcare provider (PHCP)?

The nurse cares for a client with the below tracing on the electrocardiogram. The client is unresponsive and without a pulse. ➢ Which priority action should the nurse take to convert the rhythm back t

The nurse is conducting a staff in-service on managing an acute burn. The nurse should reinforce the utilization of which formula to guide fluid resuscitation?

The nurse is preparing to assess a child with cystic fibrosis at the outpatient clinic. ➢ The nurse anticipates that the primary healthcare provider (PHCP) will order which routine laboratory test?

The nurse is teaching the parents of a client with cystic fibrosis. Which statement, if made by the parents, would require follow-up?

The nurse is counseling a client who has breast cancer. Which tertiary prevention measure should the nurse recommend?

The charge nurse reviews medical records for clients ready for discharge from the nursing unit. Which client should be recommended for disease management services? A client with

The nurse is caring for a client with pulmonary tuberculosis. ➢ Which action should the nurse take?

The nurse manager is completing an annual performance evaluation of a staff nurse. Which elements should the nurse manager include when completing the evaluation? Select all that apply.