Nclex-Rn Readiness Test 17

The nurse is performing an assessment of a client with borderline personality disorder.➢ Which defense mechanisms would the nurse expect to be demonstrated by the client? Select all that apply.

The nurse is caring for a 14-year-old scheduled for an appendectomy. What is the nurse's role in obtaining informed consent before surgery? Select all that apply.

The nurse is caring for a client experiencing a manic episode with delusions of grandeur. Which of the following nursing interventions is appropriate for this client? Select all that apply.

The nurse is assessing a client with severe preeclampsia. Which clinical findings should the nurse anticipate? Select all that apply.

The nurse is discussing infection control with a group of nursing students. ➢ Which conditions would it be correct to state droplet precautions are used for? Select all that apply.

The nurse teaches a pregnant client with the hepatitis C virus (HCV). Which of the following statements by the client would require follow-up? Select all that apply.

The nurse has been made aware of the following client situations. The nurse should first assess the client

The nurse in the emergency department is caring for a client who sustained multiple rib fractures and a nasal fracture from a motor vehicle crash. ➢ Which assessment finding requires immediate follow-

The nurse is demonstrating effective prioritization for assigned clients. ➢ Place the actions in the order in which they need to be performed, starting with the highest priority.

The nurse is assessing a client with schizophrenia who was recently prescribed lurasidone. ➢ Which questions by the nurse would be most appropriate in determining the presence of negative symptoms of

The nurse is caring for a client who reports abdominal pain. When performing an abdominal assessment, the nurse should

The nurse working in a labor and delivery unit understands that which fetal risk factor is commonly associated with shoulder dystocia during childbirth?

The charge nurse has received a change-of-shift report on the following clients in the maternity unit. ➢ The nurse should first assess the client who

The nurse is developing a care plan for a hospitalized toddler who has autism. ➢ What information should the nurse obtain from the parents to promote the toddler's acclimation to the hospitalized envi

The nurse suspects that the client has developed chorioamnionitis. ➢ Which of the following findings would support a diagnosis of chorioamnionitis? Select all that apply.

The nurse is caring for a client experiencing auditory hallucinations. ➢ Which of the following statements would be most appropriate for the nurse to make to the client?

The nurse is caring for a client who is experiencing psychosis. The client states, "You all are trying to kill me!" ➢ Which of the following responses would be most appropriate for the nurse to make

The nurse is caring for a newborn infant. ➢ Which of the following actions should the nurse take to prevent conductive heat loss? Select all that apply.

The nurse is performing an assessment on a newborn delivered one day ago. ➢ Which assessment findings would be within normal limits? Select all that apply.

The nurse is part of an infection control committee that is responding to an outbreak of norovirus in the long-term care facility. ➢ Which recommendation should the nurse make to prevent further trans

The nurse is caring for a client with bipolar disorder experiencing a manic episode. The nurse observes the client get verbally aggressive with another client. ➢ Which statement would be most approp

The home health nurse is performing an assessment on a client with bipolar I disorder.➢ Which assessment findings would support the diagnosis of bipolar mania? Select all that apply.

The nurse is on her shift in the nursery. Which of the following newborns would warrant further investigation and intervention from the nurse?

The nurse is caring for assigned clients. The nurse should immediately follow-up on the client who

The nurse is triaging a group of pediatric clients. ➢ The nurse should first see the client who is