Nclex-Rn Readiness Test 7

A. Tell her that the water is a health hazardB. Talk with her about why she should not have it theC. Empty it because it could spill and wet the bedD. Support and accommodate her preference

What is the most appropriate nursing response when a Muslim patient requests that a basin of water on her bedside table not be emptied?

A. Mean arterial pressure (MAP) 67 mmHgB. Urine output (UOP) 20 ml/hrC. Capillary blood glucose 253 mg/dLD. Serum pH level of 7.33

The nurse is caring for a client who has septic shock. Which of the following findings would indicate that the client is meeting the treatment goals?

Critical Care

The nurse is caring for a client with bulimia nervosa. Which newly prescribed medication requires clarification with the primary healthcare provider (PHCP)?

A. fluoxetineB. bupropionC. sertralineD. fluvoxamine

The nurse is caring for a client who is prescribed IV heparin. The client is prescribed 15 units/kg/hr. The client weighs 70 kgs (154 lbs). The heparin is labeled with 25,000 units in 250 mL of D5W. ➢

The primary health care provider (PHCP) prescribes ondansetron 0.15 mg/kg IV to a pediatric client who weighs 18.18 kg (39.99 lbs). The medication label reads 2 mg/mL. ➢ How many milliliters will the

A. Secures the restraint to the frame of the bedB. Repositions the client from semi-Fowlers to prone.C. Provides easy access to the quick release buckleD. Assesses the radial pulse every two hours

The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a client. Which action by the newly hired nurse requires follow-up?

A. metronidazoleB. acyclovirC. imiquimodD. remdesivir

The nurse is caring for a client with herpes simplex virus who is experiencing an outbreak. ➢ Which medication does the nurse anticipate that the primary healthcare provider (PHCP) will prescribe?

A. metabolic acidosisB. metabolic alkalosis, fully compensatedC. respiratory alkalosisD. respiratory acidosis

The nurse is caring for a client who has overdosed on clonazepam. ➢ Which of the following abnormalities in the arterial blood gas (ABG) would be consistent with a client who has overdosed on this med

Adult Health

The nurse works with elderly clients. The nurse should recognize which of the following are physical changes associated with the aging client? Select all that apply.

A. Pronounced wrinkles on the faceB. Decreased size of the nose and earsC. Increased growth of facial hairD. Neck wrinkles

Adult Health

The nurse has attended a staff education program about indwelling urinary catheter-associated infections (CAUTI). Which nursing intervention is most effective in preventing a CAUTI in hospitalized cli

A. Implementing strict sterile technique during catheB. Using antibacterial indwelling urinary catheters fC. Limiting the duration of indwelling urinary cathetD. Administering prophylactic antibiotics to all clie

Adult Health

A nurse is caring for a 5-year-old child diagnosed with cerebral palsy (CP). Which intervention is most appropriate for promoting mobility and preventing contractures in this child?

A. Encouraging the child to remain in a stationary poB. Encouraging the child to engage in strenuous physiC. Implementing a regular stretching and range of motD. Administering muscle relaxants to reduce muscle sp

A. A 3-hour old newborn weighing 6 poundsB. A 4-hour old newborn delivered at 42 weeksC. A 6-hour old newborn that is 21 inches longD. An 8-hour old newborn delivered at 40 weeks

The nurse just finished receiving the shift report from the night nurse. Which of the following newborns should the nurse assess first?

Maternal & Newborn Health

The nurse is providing discharge education regarding the client's eye drop medications. Which of the following actions does the nurse instruct the client to implement to minimize the eye drops' system

A. Instill the eye drops before meals.B. While instilling the eye drops, swallow several tiC. Blink vigorously after instilling the eye drops.D. Place a finger over the inner canthus for 30 – 60

A. Instruct the mother to immobilize the child’s leg.B. Talk to the child about the procedure.C. Swab the area with alcohol.D. Inject the medication in the thigh.

The clinic nurse is preparing to administer vaccinations intramuscularly to a 3-year-old toddler. What is the nurse’s first intervention?

A. PrazosinB. NaproxenC. VerapamilD. Furosemide

The nurse is caring for a client experiencing polyarthritis associated with rheumatic fever. The nurse anticipates a prescription for which medication?

A. “My child should not get the vaccine since it is kB. “My child should get the individual immunizations C. “My child should get the MMR immunization since thD. “My child should not get the immunization because

You are educating a mother about the association between autism and the MMR vaccine. You know that the mother understands your instructions when she says:

A. Sitting up, leaning over a bedside table, and feetB. The head of the bed flat with the patient lying onC. Prone position with both arms extended above the hD. The head of the bed elevated 45 degrees, and the p

While scheduling a client for thoracentesis, the nurse understands which of the following is the most preferred position for the procedure?

A. TemperatureB. Papules and vesiclesC. Reports of burning and itchingD. Blood pressure

7-year-old female arrives with her parents with reports of a rash on her back and chest that started two days ago. The parents state that she has been itching the area incessantly and that she reports

A. CellulitisB. PneumoniaC. EncephalitisD. Desquamation

A. Intense perianal itchingB. Poor sleepC. ConstipationD. Ribbon-like stools

100

The nurse is assessing a child with enterobiasis (pinworm) infection. Which of the following would be an expected finding? Select all that apply.