Nclex-Rn Readiness Test 2

1800: Prescribed PRBC infusion started. Client was educated to notify the RN of any manifestations regarding a transfusion reaction. Pretransfusion vital signs were obtained: T 98° F (36.7° C), P 62,

The nurse is interviewing a client taking prescribed methimazole for hyperthyroidism. Which assessment finding requires notification to the physician?

0934: Client receiving continuous tube feeding via 5 Fr nasogastric tube in the right nare. Abdomen was taut and distended. Dry diaper. Hypoactive bowel sounds in all four quadrants. Large gastric res

A nurse is caring for a client admitted to the hospital for heroin detoxification. Which nursing intervention is most appropriate for addressing the client's withdrawal symptoms?

The nurse in the obstetrics clinic is interviewing a client who is pregnant and reporting nocturnal leg cramps. ➢ The nurse should encourage the client to consume foods rich in

1722: The client has had an external fixation on the left wrist for the past two weeks. Today, he noticed swelling, increased pain, fever, and reports purulent drainage from the pin sites. The client

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.

The nurse is planning to perform a dressing change for a client with a stage three pressure injury. ➢ The nurse should initially perform which action?

The nurse manager regularly performs chart audits and room inspections in the unit. They tell the staff to address the unit’s deficiencies during a meeting. ➢ Which concept of management is the nurse

The nurse is caring for a client with suspected retinal detachment. Which of the following manifestations would not be consistent with a diagnosis of retinal detachment?

The nurse is watching the monitor of a client wearing a continuous cardiac monitor when it begins to alarm and fails to display any QRS complexes. Which nursing intervention should the nurse do first?

The nurse is caring for a client receiving a unit of packed red blood cells (PRBCs). The client reports chills, and their oral temperature is 103° F (39.4° C). ➢ Which action should the nurse take fir

The nurse performs a comprehensive assessment on a client with a body mass index (BMI) of 14. ➢ The nurse anticipates that the physician will order which dietary modification?

The registered nurse (RN) is orienting a new RN to the charge nurse role. ➢ When delegating tasks, which task delegated to the licensed practical/vocational nurse (LPN/VN) would require follow-up from

The nurse is preparing to suction a client's tracheostomy. ➢ Place the following actions in the order in which they should be performed, starting from first to last.

The nurse is caring for a client who is receiving prescribed cilostazol. ➢ Which of the following client findings would indicate a therapeutic response?

The nurse is caring for a client with hypokalemia scheduled to receive the prescribed 20 mEq of intravenous (IV) potassium. Which client assessment requires notification of the primary healthcare prov

The nurse is caring for a client who is of the Islamic faith who has died. ➢ Which appropriate action should the nurse take?

The primary healthcare provider (PHCP) prescribes dopamine at 2.5 mcg/kg/minute. The client weighs 90 kg (198 lbs). The medication label reads dopamine 800 mg in 500 mL of dextrose 5% water (D5W). ➢ H

The nurse is ambulating a client who is wearing a gait belt. The client begins to fall. The nurse should take which appropriate action to minimize injury?

The nurse is caring for a client newly prescribed ropinirole. The nurse understands that this medication is prescribed to treat which condition?

The client was admitted for observation after reporting increasing fatigue, dyspnea, malaise, and a fever of 102oF (38.8oC). The client is currently being treated with doxorubicin for uterine sarcoma.

35-year-female arrives at the clinic for reported loss of appetite and nausea. The client reports that she is not eating as much because she experiences palpitations, sweating, and dizziness about thi

A 22-year-old female was admitted from the emergency department (ED) after wandering in the local park. The client was disheveled, completely mute during the assessment, and did not respond to externa

1400: 10-year-old female reports persistent nausea, vomiting, and diarrhea for two days. Her parents report that she has been unable to sustain any food or water without vomiting. Upon assessment, the