Nclex-Rn Readiness Test 18

The nurse is assessing a newborn that was delivered 8 hours ago. The nurse notices hyperactivity, a persistent shrill cry, and jitteriness. The nurse suspects which condition?

The nurse is caring for a client receiving a prescribed diltiazem infusion. ➢ The client has the following tracing on the electrocardiogram shown in the exhibit. The nurse should perform which priorit

The nurse is caring for a client who has severe burns on their right arm and is in pain despite receiving a prescribed pain medication. The nurse decides to rub the client's uninjured left arm to reli

The nurse is caring for assigned clients. ➢ The nurse should first assess the client

The nurse is providing preoperative teaching to a client scheduled for a pneumonectomy. Which of the following statements should the nurse make to the client?

The purpose of a health assessment is to:

The medical-surgical nurse is preparing for the admission of an older adult following a ground-level fall. The nurse should prioritize teaching the client

The nurse is inserting an indwelling urinary catheter in a male client. ➢ It would be appropriate for the nurse to inflate the catheter's balloon when

The nurse is triaging a client involved in a chemical spill at a local chemical plant. The nurse assesses the client as responsive but unable to walk, with a respiratory rate of 28 and capillary refil

The nurse is reviewing leadership and management concepts with a student nurse. ➢ Which of the following statements by the student nurse would require follow-up?

The nurse is educating a client who has stomatitis on oral care. Which of the following recommendations would be appropriate?

The nurse preceptor is observing a newly hired nurse care for a client with a tracheostomy. Which of the following actions by the newly hired nurse would require follow-up by the observing nurse prece

The nurse assesses a client's central venous catheter dressing, and it appears loose and wet. The nurse should take which action?

The nurse is caring for a client with diabetic ketoacidosis and is prescribed a bolus of regular insulin followed by a continuous infusion of regular insulin. Prior to starting the continuous infusion

The nurse is caring for a client with placenta previa. Which of the following orders by the primary healthcare provider (PHCP) should the nurse question?

The nurse is caring for assigned clients. ➢ The nurse should initially assess the client who

"The nurse is providing a handoff report to a nurse in the critical care unit. The nurse states that it would be helpful for the primary healthcare provider (PHCP) to refer the client to a support gro

The nurse is caring for a client following a large volume paracentesis. To prevent hypovolemic shock, the nurse anticipates the primary healthcare provider (PHCP) to prescribe an infusion of

The nurse is instructing a client who is scheduled for electroconvulsive therapy (ECT). ➢ Which of the following statements by the client would require follow-up? Select all that apply.

The nurse is conducting a parenting class regarding nutrition for toddlers. ➢ Which of the following information should the nurse include? Select all that apply.

A nurse is caring for a client receiving digoxin. The client's most recent digitalis level was 2.5 ng/mL (0.5-2 ng/mL). The nurse should take which action? Select all that apply.

The nurse cares for a client receiving mechanical ventilation who is prescribed one unit of packed red blood cells to be transfused. Which finding would alert the nurse of a transfusion-related reacti

The nurse is caring for a client with a peripherally inserted central catheter (PICC) in the left upper extremity. It would indicate correct nursing care if the nurse

The nurse has attended a staff education program about blood transfusion reactions. ➢ Which of the following statements by the nurse would indicate a correct understanding of how to prevent a febrile

The nurse teaches a group of students about phenytoin. Which of the following statements would indicate understanding?