Nclex-Rn Readiness Test 7

The nurse in the medical-surgical unit is observing the telemetry monitor for assigned clients. Which client condition change requires immediate notification to the primary healthcare provider (PHCP)?

0700 - Handoff report received. On assessment, the client’s breathing appears regular without any distress, and clear lung sounds are noted in all lung fields. Skin is warm to the touch and pink in to

The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following complications should the nurse assess for during the therapy? Select all that apply.

The nurse is caring for a client experiencing an acute episode of severe anxiety. The nurse should plan to take which appropriate action? Select all that apply.

The nurse is assessing a client who has developed cardiac tamponade. Which of the following findings would the nurse expect to observe? Select all that apply.

The nurse is caring for a client who is receiving prescribed ketorolac. Which of the following client findings would indicate a therapeutic response? Select all that apply.

The nurse is developing a plan of care for a client with a wet-suction chest tube prescribed wall suction. ➢ Which interventions would be appropriate to include? Select all that apply.

The nurse is assessing a child with iron deficiency anemia. ➢ Which assessment findings would support a diagnosis of iron deficiency anemia? Select all that apply.

The nurse is reviewing their written documentation and notices an error. The nurse should correct the error by Select all that apply.

The nurse is working with a client with a neural tube defect. Which of the following statements are true regarding neural tube defects? Select all that apply.

The nurse is teaching a client who is scheduled for a thoracentesis. ➢ Which of the following information should the nurse include? Select all that apply.

The nurse is reviewing septic shock with a group of nursing students. It would be correct if the student identifies which causes increased lactate production?

The nurse is creating a care plan for a child recovering from a hematopoietic stem cell transplant. The nurse is most concerned about the client's risk for

The nurse is assisting in discharging a client who was treated for digoxin toxicity. While reinforcing teaching on ways to prevent future toxicity, the nurse should recommend the client have an adequa

0555: Client presents with abdominal pain, nausea, and some vomiting. The client's parents report that his symptoms started two nights ago and originated in the right lower quadrant. Overnight, his sy

1709: 58-year-old African American male presents to the office looking to establish primary care. The client has not had a primary healthcare provider in over eleven years. The client requests a physi

The nurse has attended a staff education program about immunizations. ➢ Which of the following statements by the nurse would indicate a correct understanding of the teaching?

The infection control nurse is conducting rounds on the nursing unit and should ensure which conditions are isolated with contact precautions? Select all that apply.

A nurse is caring for a client prescribed tiotropium bromide inhalation capsules. What action by the client indicates a potential safety concern?

The nurse is caring for a client with an indwelling urethral catheter. ➢ Which of the following actions should the nurse take? Select all that apply.

The nurse is preparing a continuing education course on blood transfusion reactions. ➢ The nurse recognizes which intervention would prevent an ABO incompatibility (hemolytic) transfusion error.

The nurse is caring for a client with anemia and occult blood in the stool. Which of the following medications should the nurse question?

The nurse in the behavioral health clinic is preparing to discharge a client who has been admitted multiple times for psychosis because of non-adherence to their prescribed antipsychotic medications.

The nurse is assisting the primary health care provider (PHCP) with an elective electrical cardioversion for a chronic atrial fibrillation client. Prior to this procedure, the nurse should perform whi

The nurse is reviewing Freud's Psychosexual Stages of Development with a student. It would be correct for the student to state that the milestone within the anal stage is