Nclex-Rn Readiness Test 18

The nurse is planning a staff development conference about the causes of labor dystocia. It would be correct for the nurse to identify which of the following may cause a delayed progression during lab

The nurse cares for a client with major depressive disorder (MDD). Which of the following would indicate that the client is achieving the treatment goals? Select all that apply.

The registered nurse (RN) is observing licensed practical/vocational nurses (LPN/VN) care for assigned clients. Which of the following actions by the LPN would require the RN to intervene? Select all

The nurse preceptor educates the new graduate nurse that which of the following statements made by an elderly client indicate the achievement of ego integrity? Select all that apply.

The nurse is observing a student nurse feed a client requiring aspiration precautions. ➢ The nurse should intervene if the student

The charge nurse must transfer a client from the maternity unit to the medical-surgical unit to make a bed available. It would be most appropriate for the nurse to transfer the client who is

The nurse is caring for a client in the first trimester of pregnancy who reports having a darkened vertical line present on the midline of the abdomen. ➢ The nurse should document this finding as

The nurse is discussing advance care planning with a client and emphasizes the importance of a Medical Power of Attorney (POA). The nurse explains that a Medical POA allows the client to do which of t

The nurse cares for a pregnant client with a history of cholestasis who presents to the emergency department complaining of severe itching, particularly on the palms of the hands and soles of the feet

The nurse is reviewing antepartum tests for a client newly admitted to the labor and delivery unit. ➢ Which diagnostic test requires follow-up? See the exhibit.

The nurse is performing a continuing education course on newborn care and thermoregulation. ➢ Which of the following actions by the nurse will prevent evaporative heat loss in the newborn?

The nurse is performing discharge teaching to a client who is alert and fully oriented but appears unable to comprehend the teaching. The client presents with signs of forehead sweating, tachycardia,

The nurse is performing an assessment on a client with pneumonia.➢ The nurse should prioritize assessing the client's

The nurse is presenting a home safety class on carbon monoxide toxicity to a group of older adults. ➢ Which statement would be appropriate for the nurse to make to the group of clients?

The nurse is planning a staff education program about conflict resolution strategies. ➢ Which of the following would be an effective strategy in conflict resolution?

The nurse is caring for a client who has been on bed rest for 2 days following surgery. ➢ To prevent complications associated with the client's first ambulation, the nurse should plan to

The nurse is reviewing the assessment findings of a 5-year-old child. ➢ The nurse recognizes which vital sign is not within normal limits?

The nurse in the emergency department (ED) is caring for a client and establishes continuous cardiac monitoring. ➢ Which initial action should the nurse take based on the electrocardiogram tracing? Se

The nurse is planning care for a client being admitted with cardiac dysrhythmias. ➢ When planning care for this client, the nurse should prioritize

The nurse is caring for a client with severe preeclampsia receiving a continuous infusion of magnesium sulfate. Which of the following manifestations would indicate the client is experiencing an adver

The clinic nurse notices bruising at multiple stages of healing on a two-year-old. The nurse also sees two burns on the toddler's trunk. What would be the most appropriate action for the nurse to take

The right brake on your client's wheelchair is not holding as strongly as the left brake. What is the priority action?

The nurse performs a postpartum assessment on a client who delivered a term newborn two hours ago. The nurse suspects that the client has developed postpartum hemorrhage (PPH). ➢ Which action should t

The nurse is planning a staff education program about restraints. ➢ When discussing the documentation of restraints, the nurse should remind the participants of what needs to be documented when a clie

The nurse is preparing to restrain a client using soft-limb restraints. ➢ When initially restraining the client, it would be a priority for the nurse to