Nclex-Rn Readiness Test 17

A. Creatinine 2.7 mg/dl (238.68 µmol/L) [0.6-1.2 mg/dB. Hemoglobin A1C of 6.9% [< 7%) for a client with diC. Platelet count of 152,000 mm3 (152 x 10⁹/L) [150-4D. Potassium 3.1 mEq/dL (mmol) [3.5-5 mEq/L] for a cl

127

The nurse is reviewing the laboratory results of assigned clients. ➢ Which of the following results would require immediate follow-up? Select all that apply.

A. ConfusionB. Abdominal crampsC. Tall, peaked t-wavesD. Hypoactive bowel sounds

128

The nurse is assigned to care for a client with a sodium level of 122 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]. Which assessment findings does the nurse anticipate based on this lab result? Select all t

A. Macaroni and cheeseB. Whole grainsC. Whole milkD. Black beans

129

The nurse is teaching parents about appropriate dietary choices for a toddler who experiences frequent constipation. The nurse should recommend that the parents incorporate which foods into the diet?

A. "Avoid harsh soaps and detergents."B. "Wash the affected areas 4-5 times/day."C. "Apply lotion immediately after bathing."D. "Keep the nails trimmed short."

130

The nurse is teaching the parents of a child diagnosed with eczema. Which of the following information should the nurse include? Select all that apply.

A. CardiomegalyB. HeadachesC. IrritabilityD. Abdominal pain

131

The nurse is assessing a child with lead poisoning. The nurse should expect which findings? Select all that apply.

A. hematuriaB. nausea and vomitingC. hypotensionD. dysuria

132

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

A. Isometric exercisesB. Decreasing sodium intakeC. Smoking cessationD. Use of herbal supplements

133

The nurse is caring for a client diagnosed with essential hypertension. ➢ Which of the following lifestyle modifications are recommended for managing hypertension? Select all that apply.

A. The number of stools in the past shiftB. The current weight compared to the admission weighC. Mucous membrane assessmentD. The 24-hour urinary output

134

The nurse cares for a child admitted with severe dehydration secondary to gastroenteritis. Which assessment data would be most reliable in determining the client's response to the prescribed intraveno

A. peripheral vision lossB. central vision lossC. difficulty seeing at night, especially while driviD. blurred vision with headache

135

The nurse is assessing a client with age-related cataracts. Which of the following assessment findings would support this diagnosis of age-related cataracts?

A. initiating contact and droplet precautionsB. obtain a prescription for intravenous antiviralsC. obtain a prescription for enoxaparinD. monitor renal function

136

The nurse is caring for a client newly admitted with infective endocarditis (IE). The nurse should plan for which intervention in the client's care plan?

A. Administering a bolus of crystalloid solutionB. Initiating continuous renal replacement therapyC. Titrating the vasopressor infusionD. Administering a blood transfusion

137

The nurse is caring for a client with severe sepsis who is receiving vasopressor therapy. Despite adequate fluid resuscitation, the client's blood pressure remains low. Which intervention should the n

A. Prone position with the arms extended overhead.B. Supine position with the right arm abducted and thC. Left lateral decubitus position with the right armD. Trendelenburg position with the legs elevated and

138

The nurse is assisting in positioning a client for a liver biopsy procedure. Which positioning is most appropriate for the client during the procedure?

A. SepsisB. HypothermiaC. KernicterusD. Pneumonia

139

A nurse is caring for a newborn infant that is diagnosed with jaundice shortly after birth. The nurse is aware that jaundice in newborns can potentially lead to which of the following complications if

A. Implementing measures to prevent falls and fracturB. Administering calcium supplements to promote bone C. Encouraging weight-bearing exercises to strengthenD. Applying heat packs to relieve muscle pain and sti

140

A nurse is caring for a child with Osteogenesis Imperfecta (OI). Which nursing intervention is a priority in the care of this client?

A. unlicensed assistive personnel (UAP) can take a phB. use more abbreviations when transcribing a physiciC. when repeating an order back to the physician, repD. verbal and telephone orders be limited to emergenc

141

The nurse participates in a task force to reduce errors related to telephone and verbal orders. ➢ The nurse should recommend that Select all that apply.

A. OcclusionB. InfiltrationC. PhlebitisD. Air embolism

142

The nurse is assessing a client's peripheral vascular access device. The assessment shows that the site is reddened, warm, painful, and slightly edematous near the insertion point of the catheter. Whi

A. consume foods and liquids at room temperature.B. drink a large amount of fluid with meals.C. consume foods without aromasD. eat smaller portion sizes throughout the day.

143

The nurse is caring for a client who has nausea related to prescribed chemotherapy treatments. ➢ The nurse should recommend that the client Select all that apply.

A. Contain the spill using plastic-backed absorbent sB. Wear sterile gloves when cleaning the spill.C. Immediately remove any contaminated clothing and wD. Research the appropriate cleaning agent based on t

144

The nurse is conducting a staff education program on managing chemotherapy spills. ➢ Which actions should the nurse recommend be taken in the event of a chemotherapy spill? Select all that apply.

A. nystagmusB. swollen, red jointsC. orthostatic hypotensionD. spontaneous bruising

145

The nurse is assessing a client with Parkinson disease (PD). ➢ Which of the following findings would support a diagnosis of PD?

A. apply direct pressure to the severed fingers and wB. irrigate the amputated fingers with sterile salineC. place the amputated fingers directly on ice.D. wrap the fingers in gauze, put it in a plastic bag

146

The nurse in the emergency department is presented with two severed fingers from a client who experienced a traumatic amputation. What should the nurse do to properly preserve the severed fingers for

A. ecchymotic discoloration in the periumbilical regiB. dysuriaC. hyperactive bowel soundsD. hematuria

147

The nurse is assessing a client diagnosed with necrotizing pancreatitis. ➢ Which of the following assessment findings would be expected?

A. Taylor testB. Rinne testC. Babinski testD. APGAR test

148

The sense of hearing is assessed using which standardized test?

A. “It doesn’t make any difference which insulin I drB. “I cannot mix these two kinds of insulin, so I wilC. “I should draw up the regular insulin first.”D. “I should draw up the NPH insulin first.”

149

The nurse is caring for an adolescent who has just been diagnosed with diabetes. The nurse is teaching them about administering their insulin. Their standard morning dose of insulin includes 8 units o

A. Creatinine 2.7 mg/dl (238.68 µmol/L) [0.6-1.2 mg/dB. Hemoglobin A1C of 6.9% [< 7%) for a client with diC. Platelet count of 152,000 mm3 (152 x 10⁹/L) [150,0D. Potassium 3.1 mEq/L (mmol) [3.5-5 mEq/L] for a cli

150

The nurse is reviewing the laboratory results of assigned clients. ➢ Which of the following results would require immediate follow-up? Select all that apply.