Nclex-Rn Readiness Test 5

The nurse reviews clinical data for a client 24 hours postpartum following a vaginal delivery. ➢ Which of the following findings should the nurse immediately follow-up with?

The nurse is caring for a client in labor experiencing a prolapsed umbilical cord. The nurse anticipates that the fetal heart rate pattern will likely show

The nurse is performing an assessment on a term newborn four hours after delivery. ➢ Which assessment findings require follow-up? Select all that apply.

The nurse is caring for a client receiving prescribed dexamethasone. Which of the following adverse reactions may occur? Select all that apply.

The nurse is planning staff education about cerebral infarcts. The nurse knows which of the following options is the most appropriate treatment for clients with cerebral infarctions presenting within

Discharge Summary 0900: Third involuntary admission in the past six months. The client was admitted four days ago because of florid psychosis. During the stay, the client was stabilized with their pre

losartan 25 mg by mouth daily spironolactone 25 mg by mouth dailymultivitamin 1 tablet by mouth daily acetaminophen 500 mg by mouth daily, as needed for painpantoprazole 40 mg by mouth daily warfarin

The nurse is caring for a client eight hours following a total thyroidectomy. ➢ The nurse plans on obtaining an order to assess the client's serum

The nurse is caring for a client scheduled for a lumbar puncture (LP). ➢ Which of the following clinical manifestations would require follow-up by the nurse before the LP?

The nurse is performing hand hygiene. ➢ Which actions should the nurse take when washing their hands with soap and water? Select all that apply.

The most frequent threat to technological and information security in a healthcare facility is which of the following?

The nurse is caring for a client with a platelet count of 18,000 mm3 [150,000-400,000 mm3]. ➢ What is the priority action the nurse should take?

The nurse recognizes which of the following is considered an external disaster?

A nurse is taking care of a client with acute peritonitis. ➢ The nurse should do which of the following to meet the client's nutritional needs?

The nurse is caring for a client diagnosed with hyperparathyroidism. Which laboratory data would support this diagnosis?

0535: The parents of a 4-year-old report that their child has not been feeling well for the past two days. They went to urgent care, and the child was diagnosed with pharyngitis. Less than an hour ago

Pulmonary Dyspnea; use of accessory muscles with inhalation; reports productive cough for past 2 weeks, unable to tolerate any physical activity; wheezes and rhonchi in all of the lung fieldsGastroint

1704: Client brought to the ED by ambulance because of persistent dizziness that is worse when she changes positions. On assessment, the client is alert and oriented. She reports persistent dizziness

The nurse has completed an assessment on a client with diabetes mellitus (type 2) presenting for a routine follow-up appointment. ➢ Click to highlight the findings in nurses' notes that require immedi

The nurse is supervising a graduate nurse complete an incident report regarding a client who fell. ➢ Which of the following actions by the graduate nurse requires follow-up?

The nurse is caring for a client who is asking about advanced directives. Many documents fall under the category of an advanced directive. The nurse knows that one of the most common legal papers is c

The nurse is caring for a client who was extubated within the last hour. What assessment finding should be reported to the primary healthcare provider (PHCP) immediately?

The nurse is teaching a group of older adults about effective sleep. Which of the following statements, if made by the client, would require further teaching?

The nurse is caring for a client who sustained 18% full-thickness burns. The nurse understands that the treatment goal during the acute emergent (resuscitation) phase is to

The nurse is assessing a client's cardiac rhythm strip and notices that it is irregular without any P waves before the QRS complexes. The nurse should interpret this as