Nclex-Rn Readiness Test 6

A. Implement visitor restrictions for affected clientB. Log entry and exit of all healthcare workers who pC. Ensure that bleach disinfectant wipes are availablD. Provide reusable personal protective equipment

The emergency department (ED) charge nurse is preparing for a surge of clients diagnosed with Ebola virus disease (EVD). The nurse should plan to take which action? Select all that apply.

A. “This medication may make you gain weight.”B. “It is best to take this medication in the morningC. “If you have further pain, it is okay to take naprD. “Your blood pressure may decrease while taking thi

The nurse is teaching a client who has been prescribed a 21-day course of prednisone. ➢ Which of the following information should the nurse include? Select all that apply.

Pharmacology

The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as a risk factor for developing testicular cancer? Select all that apply.

A. CryptorchidismB. Human immunodeficiency virus (HIV)C. VasectomyD. Family history

A. Provide reassurance that this is part of the disorB. Notify the primary healthcare physician (PHCP)C. Obtain a 12-lead ElectrocardiogramD. Disregard the symptom as it may be unreliable

The nurse is caring for a client who has a factitious disorder. The client reports chest pain. Which of the following actions should the nurse take? Select all that apply.

Mental Health

The nurse is observing infection control practices in the nursing unit. Which of the following findings require follow-up? A client withSelect all that apply.

A. H. pylori placed on standard precautions.B. rotavirus provided a disposable blood pressure cufC. rubella and their door is kept closed at all timesD. influenza ambulating in the hall with a surgical m

A. muscle weaknessB. ulcers between the toesC. edemaD. tenderness

The nurse is assessing a client three days postpartum for lower extremity thrombophlebitis. Which of the following assessment findings would support this diagnosis? Select all that apply.

Maternal & Newborn Health

The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as an increased risk for developing primary open-angle glaucoma? Select all that ap

A. Blue eyesB. Older ageC. African ethnicityD. Diabetes mellitus

0100: The client was brought to the ED by his parents because they were awakened by the child crying and because 'his throat hurt.' The parents indicated that he was sick the night before, but the sym

Child Health

1450: Client reports to the clinic with her daughter because of various concerning symptoms that started about eight months ago. The client's daughter has noticed that her mother has become increasing

A. ptosisB. gingival hyperplasiaC. polycythemiaD. gynecomastia

Day 11100: Client transferred from the emergency department to behavioral health. The client is experiencing an acute manic episode and was found wandering the street with bizarre behavior. The client

Mental Health

The nurse is assessing a client taking prescribed risperidone. ➢ Which of the following findings would indicate the client is having an adverse effect?

Pharmacology

0855: Client was brought to the clinic by her husband, who reports that she has been falling frequently, having difficulty remembering things, and numbness and tingling in the lower extremities. Onset

A. eat consistent amounts of carbohydrates at mealtimB. avoid drinking fluids with meals.C. obtain recommended colon cancer screenings.D. avoid taking anti-diarrheal medication.

The nurse is caring for a client who has ulcerative colitis (UC). The nurse should teach the client to Select all that apply.

A. Administering intravenous fluidsB. Monitoring the client's liver enzymesC. Administering corticosteroidsD. Initiating prophylactic antibiotic therapy

A nurse is caring for a client who is admitted to the emergency department with suspected rhabdomyolysis. ➢ Which of the following interventions should the nurse anticipate implementing initially for

Maternal & Newborn Health

1040: 16-year-old gravida 1 para 0, at 34 weeks gestation, reports a frontal headache and edema in the hands and face that started three days ago. Despite taking acetaminophen, she reports that the he

0.9% sodium chloride (normal saline) via continuous infusion at 100 ml/hr check blood glucose hourlynpo (nothing by mouth) ondansetron 4 mg intravenous push q 4 hours PRN nausea and vomiting complete

A. Notify the primary health care provider.B. Complete an incident report.C. Reduce the insulin infusion to 6 units/hr.D. Administer the prescribed glucagon.

Critical Care

The nurse is caring for a client who has soft-limb wrist restraints applied. ➢ The highest priority for the nurse is to

A. provide the client with opportunities to discuss tB. document the neurovascular assessments.C. assess the client's mood and affect.D. offer nutrition and hydration.

A. Decision-making, problem-solving, and priority setB. Inspirational abilities and coaching.C. Visionary abilities and supervision.D. Motivational and visionary abilities.

The nurse knows that the concept of management is most closely associated with:

A. implement corrective measures needed to prevent reB. collect data about errors and compare it to differC. communicate the error(s) to other departments withD. notify the individual involved of the deviation fr

The nurse has attended a staff education program about incident reporting. ➢ It would indicate effective understanding if the nurse states that the primary purpose of incident reporting is to

0800: Upon assessment, the client is visibly anxious and struggling to breathe, with pink frothy sputum noted during coughing.The client is experiencing sudden shortness of breath and chest tightness.

A. Reinsert a new catheterB. Increase the infusion rate of the irrigationC. Attempt to dislodge a clotD. Contact the health care provider (HCP)

A client with benign prostatic hyperplasia (BPH) is post-operative following transurethral resection of the prostate (TURP) and is now receiving continuous bladder irrigation. Upon assessment, the nur

A. intravenous fluids.B. ondansetronC. the insertion of a nasogastric tube (NGT).D. fentanyl via patient-controlled analgesia.

The nurse in the emergency department (ED) is caring for a client diagnosed with acute pancreatitis. ➢ The nurse should prioritize obtaining a prescription for

A. Administer an oral cyclooxygenase-2 (COX-2) inhibiB. Provide a clear explanation to the client about thC. Changing the client's dressing carefully and handlD. Let the client watch their favorite television sho

The nurse is preparing to perform a dressing change on a client with deep partial-thickness and full-thickness burns. Which of the following actions would be inappropriate when caring for this client?