Nclex-Rn Readiness Test 2

The nurse performs an obstetrics history on a client seeking antenatal care for a confirmed pregnancy. The client reports having six-year-old twins born at 39 gestational weeks. She had an ectopic pre

0750 - The client presents to the ED with reports of dyspnea, productive cough, and 'not feeling good.' Two days ago, the client saw his primary healthcare provider (PHCP) for a productive cough and d

0845: Morning capillary blood glucose obtained of 189 mg/dL (10.4 mmol/L). 4 units of lispro insulin administered per sliding scale. Vancomycin infusion started at this time in left peripheral vascula

The nurse is caring for a client who reports a sexual assault. Which actions should the nurse take? Select all that apply.

The nurse is preparing to administer a prescribed infusion of oxytocin to a client with labor dystocia. During the infusion, the nurse plans to monitor which of the following? Select all that apply.

The nurse is caring for a client receiving a continuous infusion of regular insulin. The nurse should plan to monitor which clinical data? Select all that apply.

The nurse cares for a newly admitted client with a full-thickness burn of over 25% of the total body surface area. The nurse should take which of the following actions? Select all that apply.

The nurse is providing education to a client who is prescribed terbinafine for onychomycosis affecting the toenails. ➢ Which statements by the client demonstrate understanding regarding the teaching a

The nurse is performing a fall risk assessment on a group of clients. ➢ It would be appropriate for the nurse to identify the client at risk for falls who Select all that apply.

The nurse is developing a care plan for a client with a hearing impairment. Which of the following interventions should the nurse take? Select all that apply.

The nurse is caring for a client who presents with a blood glucose level of 45 mg/dL (2.4975 mmol/L) [70-110 mg/dL, 4.0–11.0 mmol/L]. ➢ Which of the following findings are expected? Select all that ap

The nurse cares for a child diagnosed with laryngotracheobronchitis who is assessed to have worsening inspiratory stridor with an oxygen saturation of 92% on room air. The nurse should obtain a prescr

0914 – Nursing reports that the client required a PRN dose of diazepam after pacing the halls and shouting at the television despite failed redirect attempts. Mental Status Exam – Alert and disoriente

The nurse is caring for a client who was prescribed a clear liquid diet. ➢ Which dietary items would be appropriate for the nurse to include? Select all that apply.

1655: Client reports to the clinic with an interest in a prescription for an insulin pump. The client reports that he has been inconvenienced by injecting himself with insulin over the past year, cons

1500: Client reports an 'excruciating' headache directly behind his left eye. He says the pain is 'pulsating' and worse when lying down. He reports sensitivity to lights and sounds. He reports getting

The nurse is screening individuals at risk for gastric cancer. It would be appropriate for the nurse to identify which of the following as a risk factor for gastric cancer?

A nurse is caring for a child with rickets. ➢ Which dietary intervention should the nurse anticipate in the client's plan of care?

1030: Discharge client home Have the client follow up with psychiatry in 2 weeksPrescription: lithium 300 mg PO qHS Day 31025: The client has stabilized in the past 24 hours and has been cooperative w

1249: Client arrives to the ED due to increased shortness of breath this morning. The client reports a fever for the past few days and has started to cough up greenish mucus and report generalized bod

The nurse is planning a staff development conference about restraints. ➢ Which of the following information should the nurse include? Select all that apply.

1655 - 54-year-old female presents with her husband with reports of her 'not acting right.' The husband reports that three days ago, he noticed his wife 'acting odd' and reported her experiencing inte

1836: A 33-year-old primigravida at 29 gestational weeks was admitted following an episode of bleeding at home following intercourse. During the episode, she had no pain and stated the blood was brigh

The nurse is caring for a client newly admitted to the mental health unit with bulimia nervosa. ➢ Which client statement requires immediate follow-up?

The nurse is assessing a client's electrocardiogram (ECG) monitoring and notices U-waves. Which electrolyte abnormality may cause this finding?