Nclex-Rn Readiness Test 3

Day 11700: Admitted from the emergency department with a small bowel obstruction. Nasogastric tube (NGT) was inserted with intermittent suction. Awaiting surgical consult. Day 2 0900: Morning labs rev

ExhibitAbdominal QuadrantsArea A = Right Upper Quadrant (RUQ)Area B = Left Upper Quadrant (LUQ)Area C = Right Lower Quadrant (RLQ)Area D = Left Lower Quadrant (LLQ)The nurse is reviewing a client's me

The nurse is caring for a client eight hours postoperative following a total thyroidectomy. ➢ Which of the following assessment findings indicate that the client is developing a complication?

A nurse is assigned to care for four clients who are each one day postpartum. Following the nurse performing an initial assessment on each client, which finding would prompt further evaluation by the

The nurse at a gynecology clinic speaks with a 25-year-old, 32-week pregnant client. The nurse assesses the client and the client's laboratory results. Which of the following findings should most conc

The nurse is speaking to the parents of an adolescent client who report that their child is having difficulty finding their identity. The nurse responds that the failure of the adolescent to develop t

1315: The child will be admitted to the PICU from the emergency department (ED) due to multiple hypercyanotic episodes at home. Over the past three days, the child has experienced two spells per day,

A 58-year-old client presents to the emergency department with dizziness, fatigue, and tarry stools that started 24 hours ago. The client reports frequent NSAID use for chronic joint pain. Pallor and

The nurse is caring for a client who is paraplegic secondary to a spinal cord injury. While planning this client's discharge, which would be most appropriate to include in the clients plan of care?

The nurse is caring for a client with cerebral edema who is receiving 3% sodium chloride intravenously.➢ Which finding would require immediate intervention?

The nurse is discussing infiltration with a group of students. It would be appropriate for the nurse to describe this complication as

The nurse is screening a client who is pregnant for intimate partner violence (IPV). ➢ Which of the following would not be a sign or symptom of IPV?

The nurse is planning a meal for a client with Celiac disease. ➢ It would be appropriate for the nurse to offer the client

The nurse is caring for a client with a myocardial infarction experiencing tachycardia and coughing up frothy, pink-tinged sputum. Which finding would the nurse expect upon lung auscultation?

A 30-year-old man was involved in a head-on collision and was unconscious for two minutes prior to EMS arrival. Five minutes before arriving to the hospital, the paramedic notices clear fluid draining

The nurse is caring for a client who has been prescribed sertraline for major depressive disorder. It would be a priority for the nurse to assess for which of the following?

The nurse is performing an assessment on a client with congestive heart failure demonstrating ineffective coping. The nurse should plan to

The emergency department (ED) nurse triages a client experiencing a panic attack. The client reports nausea, chest discomfort, and a feeling of impending doom. The nurse should plan to take which prio

The client has been prescribed a continuous infusion of heparin for multiple venous thromboembolism. The nurse understands that the goal of this treatment is to prolong the

The nurse is caring for a client receiving prescribed sumatriptan. ➢ Which client report would indicate that the client is experiencing an adverse response?

Neurological: Alert and Oriented x 4; anxious affect Cardiovascular: S1, S2 heart tones; all peripheral pulses palpable; no edemaGastrointestinal: Distended abdomen; absent bowel sounds; hiccups; rep

23-year-old client following up after initiating antiretrovirals for newly diagnosed HIV infection. The client reports nausea and vomiting if he does not take the medication with meals. He recently jo

28-year-female presents with unilateral right lower quadrant (RLQ) pelvic pain and vaginal bleeding that she described as spotting that started two days ago and has increased in intensity. She reports

The nurse is caring for a client with systemic lupus erythematosus (SLE). Which assessment finding requires follow-up from the nurse? The client reports

The nurse is teaching a caregiver how to administer an injection of a prefilled syringe of enoxaparin. ➢ Which statement, if made by the caregiver, would require further teaching?