Nclex-Rn Readiness Test 2

A 54-year-old client is admitted for evaluation of excessive thirst and urination. The client reports drinking large amounts of water throughout the day and waking several times overnight to void. Phy

A 67-year-old client is admitted following a head injury. The client is increasingly restless, reporting a headache rated 7 out of 10, and has become less responsive to questions over the last hour. P

A 7-year-old child in the pediatric ward does not want to ambulate after surgery. Which action by the nurse is most appropriate?

The nurse is caring for a preschooler following a tonsillectomy. Which intervention would be appropriate for the nurse to implement?

The nurse is caring for assigned clients. Which essential infection control measure should the nurse take?

A 30-year old patient presents to the Emergency Department with alcohol withdrawal seizures. The psychiatry nurse understands that the patient will soon be admitted to the non-medical psychiatric care

The school nurse has performed an assessment on a 6-year-old child who has been sent to the office after a teacher developed concerns for his safety. Which findings will lead the nurse to investigate

The nurse is caring for a client who has a confirmed pregnancy. Using Nägele’s rule, the estimated date of delivery for this client, whose menstrual period was May 5th, will be which date?

The nurse is caring for a client receiving nasal cannula oxygen and prescribed warfarin for venous thromboembolism (VTE) prevention. The unlicensed assistive personnel (UAP) informs the nurse that the

The primary healthcare provider (PHCP) prescribes medication via the buccal route. ➢ To correctly administer this medication, the nurse plans to place the medication

Tympany is a percussion sound commonly located in the:

The nurse is caring for a client who has polycystic kidney disease (PKD). ➢ Which of the following would indicate the client is achieving treatment goals?

The nurse is caring for a client who is prescribed enoxaparin. Which of the following findings in the medical history would require follow-up with the primary healthcare physician (PHCP)?

The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

The nurse is triaging clients in the emergency department (ED). ➢ Which client should the nurse recommend to the primary healthcare provider (PHCP) to be assigned to the intensive care unit (ICU)?

The nurse is interviewing a client who reports frequent urination and nausea. The client is concerned that she may be pregnant. ➢ The nurse understands that these manifestations are

The nurse overhears another nurse state to a client "If you do not behave, I will restrain you." This statement demonstrates an example

ExhibitECG Strip DescriptionParameterFindingRhythmIrregularly irregularRate (Ventricular)110-130 bpmP-wavesAbsent; replaced by fine fibrillatory wavesPR intervalNot measurableQRS duration0.08 seconds

The nurse is preparing to insert a nasogastric tube (NGT). Which action should the nurse take?

The nurse is reviewing the medical record of a client who is pregnant at 35 gestational weeks➢ Click to highlight the findings in the medical record that require follow-up

Blood consent was completed and obtained. Type and screen and type and cross results noted. 20-gauge peripheral vascular access device started in the right antecubital space. Flushed with no resistanc

84-year-old female was admitted to the medical-surgical unit with a three-day history of abdominal pain, distention, nausea, and persistent vomiting. She reports that she has not had a bowel movement

The nurse is assessing a client with a binge eating disorder. The nurse understands which other comorbidity is commonly found with this disorder?

The nurse is caring for a child with nephroblastoma. To prevent complications from this tumor, the nurse should closely monitor the client's

The nurse is planning care for a child who has had a near drowning at a local swimming pool. It would be a priority for the nurse to have which item at the bedside?