Nclex-Rn Readiness Test 4

At 25 weeks gestation, a pregnant client presents with a uterine growth size that is less than expected, decreased fetal movement, and an easily palpable fetus. Which of the following is this likely r

A nurse is caring for a client at risk of developing pressure ulcers. Which of the following is an intrinsic risk factor that contributes to this increased risk?

The nurse is teaching a client with low back pain. Which of the following statements, if made by the client, would require follow-up?

The nurse is caring for a client who is 2 days postoperative cesarean section. The client reports right shoulder discomfort. ➢Which action should the nurse take first?

The nurse is caring for a child diagnosed with Tetralogy of Fallot. The client has had multiple hypercyanotic episodes (tet spells). ➢ The nurse anticipates that the physician will prescribe

The nurse is reviewing a client's arterial blood gas (ABG) results, which reveal the following: pH 7.50 [7.35-7.45], PaCO2 28 mmHg [35-45 mm Hg], HCO3- 25 mEq/L [22-28 mEq/L]. The nurse should interpr

The nurse is planning care for a client who has neutropenia. ➢ When planning care for this client, which action should the nurse take?

The nurse performs a physical assessment on a client and observes that the client has reddened gums with bleeding. The nurse is correct in documenting this finding as

The nurse in the outpatient clinic is triaging a 19-year-old client with reports of auditory hallucinations, paranoia, and alterations in speech. The nurse's assessment shows the client is apathetic,

The nurse is collecting data on a client who is taking prescribed digoxin and furosemide. Which finding requires follow-up?

The nurse is caring for a client who expresses feeling self-conscious about their hair and states they would like to wash it before undergoing diagnostic tests and procedures.➢ How should the nurse pr

The emergency department (ED) nurse is caring for a client who has overdosed on lorazepam. The nurse anticipates the primary healthcare provider (PHCP) will prescribe which medication?

The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. ➢ The nurse informs the parents that which of the following is the most likely cause of bronchiolitis?

The nurse is reviewing newly prescribed medications for a client taking lithium. ➢ Which medication requires clarification with the physician?

The nurse is caring for a client diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse should anticipate a prescription for which medication?

The nurse is observing a client with epilepsy have a sudden loss of muscle tone that lasts for a few seconds. The nurse is correct in identifying this as which of the following?

The nurse is caring for a client with heart failure. Which medication should the nurse clarify with the primary healthcare provider (PHCP)?

The nurse is caring for a client with urge incontinence. Which of the following actions would be appropriate for the nurse to take?

The nurse is caring for a newborn with erythroblastosis fetalis. The nurse understands that this disease is characterized by

The nurse is preparing to administer prescribed bumetanide to a client. ➢ Which clinical finding would indicate a therapeutic outcome?

The nurse cares for a client with a potassium of 3.1 mEq/L (mmol/L) [3.5-5 mEq/L, mmol/L]. The primary healthcare provider (PHCP) prescribed 40 mEq of intravenous (IV) potassium over four hours. Which

1234: The client’s parents indicate that he has been vomiting for the past twelve hours and has been unable to keep any fluids or foods down. The client's parents report that a similar illness has ci

19-year-old female admitted with abdominal pain localized to the right lower quadrant. The onset of pain was twelve hours ago, and the client now reports pain is worsening when the client coughs. Endo

1800: A 31-year-old primigravida at 38 gestational weeks 100% effaced and 2 cm dilated. Contractions occur every 15 minutes lasting for 20 seconds. The client reports that the contractions are becomin

A 63-year-old male presents with concerns about difficulty with driving at nighttime. The client states, ‘I feel like my vision is blurred, and I cannot change it.' The client reports no pain in eithe