Nclex-Rn Readiness Test 16

The nurse is calculating intake for a client. The client received:0.9% saline at 70 mL/hr for four hours two eight-ounce cups of ice chips one eight-ounce cup of coffeethree eight-ounce cups of water➢

The nurse is caring for a client prescribed IV heparin. The client is prescribed 18 units/kg/hr. The client weighs 111.8 kg (245.96 lbs). The heparin is labeled with 25,000 units in 250 mL of D5W. ➢ H

The nurse is caring for a client receiving intravenous (IV) alteplase for a cerebrovascular accident (CVA). The nurse understands that this medication has reached its therapeutic effect when the clien

The nurse is educating a client about newly prescribed lispro insulin. ➢ The nurse should instruct the client to self-administer this insulin

The nurse is preparing to infuse prescribed cisplatin via a peripheral vascular access device.➢ Which assessment should take priority before administration?

The nurse is planning care for a client with decreased cardiac output. Which interventions would be appropriate? Select all that apply.

The nurse is caring for a client immediately following an ultrasound-guided thoracentesis. Which client finding requires follow-up? Select all that apply.

The nurse educates a client about the application of a plaster cast to a fractured radius. Which of the following statements by the client would require follow-up?

The nurse is caring for a client who is diagnosed with acute appendicitis. After several hours of pain, the client suddenly states a relief in his pain. What is the initial action of the nurse?

The nurse performs a home safety assessment for an older adult with rheumatoid arthritis. The nurse should make which recommendation to promote safety in the bathroom?

The nurse reviews a client's laboratory results and notes the potassium level is 5.6 mEq/L (mmol/L) [3.5-5 mEq/L, mmol/L]. ➢ Which change to the cardiac rhythm would be expected?

The intensive care unit (ICU) nurse is preparing to admit a client with Guillain-Barre syndrome. Which of the following items is essential for the nurse to have at the client's bedside?

The nurse is caring for a client on a medical floor. The nurse would recognize that which diagnosis increases the client's risk of developing hyperkalemia?

The nurse is reviewing the arterial blood gas results of a client with chronic obstructive pulmonary disease (COPD) reporting dyspnea. The ABG results: pH 7.18 [7.35-7.45], PaCO2 67 mmHg [35-45 mm Hg]

The nurse is caring for a client who has acute pancreatitis. ➢ Based on the 11:15 AM vital signs, the nurse should prioritize which action? Click to view the exhibit for additional client information.

The nurse is caring for a client who reports diarrhea, unintentional weight loss, and nervousness. The primary healthcare provider (PHCP) orders a thyroid panel, and the nurse understands the client i

The nurse cares for a client who sustained full-thickness thermal burns to 30% of their total body surface area (TBSA). Which of the following initial laboratory values would be expected?

The nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following would indicate the client is achieving the treatment goals?

The nurse is caring for a client with the below tracing on the electrocardiogram (ECG). The client reports dyspnea and dizziness. The nurse should obtain a prescription for which medication? See the i

The emergency department nurse is caring for a client with congestive heart failure who reports dyspnea and a persistent cough. The nurse obtains the client's vital signs and suspects that the client

The nurse is instructing the parents of a child with asthma about a peak flow meter. Which statement, if made by the parents, would indicate effective teaching?

The nurse has provided discharge instructions to the parents of an infant with a newly applied Pavlik harness. ➢ Which of the following statements by the parents would indicate effective teaching? Sel

The nurse supervises unlicensed assistive personnel (UAP) assist a bed-bound client with oral hygiene. Which action by the UAP requires follow-up? Select all that apply.

The nurse is counseling a female client newly diagnosed with herpes simplex virus in the genitals. Which symptoms should the nurse educate the client to expect before an outbreak? Select all that appl

The nurse reviews a client's laboratory data. Which laboratory data requires follow-up? See the image below. Select all that apply.