Nclex-Rn Readiness Test 8

The nurse gives discharge instructions to a client who sustained a brain injury from a motor vehicle accident. His wife is concerned regarding her husband having seizures at home. Which statement from

The intensive care unit (ICU) nurse is caring for a client with septic shock. The assessment shows bleeding from the peripheral intravenous site, gum bleeding, and hematuria. ➢ Based on the assessment

The nurse is caring for a client who is critically ill and provides the nurse with an advance directive specifying a do not resuscitate (DNR) order. The client's children arrive at the bedside and rep

The nurse is preparing to sign a client's surgical consent form after the physician has explained the procedure to the client and family. As the client signs the form, she comments “I really didn’t un

A nurse is caring for a client receiving metformin. Which of the following laboratory data should be reported to the provider?

The fertility nurse is providing education to a woman hoping to become pregnant. This nurse would be most correct in stating that which of the following hormones is chiefly responsible for the release

The nurse is caring for a client three hours postpartum after delivering a term newborn infant. Which assessment finding would indicate an early sign of postpartum hemorrhage?

The nurse at the school clinic is interviewing a child who is angry and blames their teacher for not passing an exam. The student admits that they did not study for the exam. The child is demonstratin

The nurse is caring for assigned clients. ➢ The nurse should initially follow-up on the client who

ExhibitTestResultNormal RangepH7.197.35-7.45PaCO236 mmHg35-45 mmHgPaO292 mmHg80-100 mmHgHCO312 mEq/L22-26 mEq/LSaO295%95-100%The nurse is caring for a client with the following arterial blood gas (ABG

A 28-year-old woman presents to the trauma bay after being shot in the upper back. She can move the left side of her body but cannot move the right. However, she cannot feel any pain in the left. The

Parents bring their 2-year old daughter into the emergency department after picking her up from her aunt’s house. They are concerned that she has an upper respiratory infection. The nurse notices brui

The nurse is providing discharge teaching to the client with a platelet count of 40,000 (40 x 10^9/L) [150,000–400,000/mm3 (150–400 × 109/L)].➢ Which of the following information should the nurse incl

The nurse is participating in a community health fair. ➢ While assessing clients at risk for vitamin deficiencies, the nurse identifies which client at greatest risk for folate deficiency? A client

The nurse is performing a physical assessment on a client. ➢ To assess the client's visual acuity, the nurse would use a

A nurse is instructing a client about prescribed risperidone. Which statements, if made by the client, require follow-up?

The nurse is discharging a client following knee arthroplasty. Which of the following information should the nurse include in discharge teaching?

The nurse is caring for a client with a chest tube for the treatment of a pneumothorax. Which item is essential to have at the bedside?

The primary healthcare provider (PHCP) prescribes 1.5 grams of vancomycin to be infused over 90 minutes. The pharmacy supplies the medication in a bag labeled 1500 mg of Vancomycin in 250 mL of 0.9% s

The primary healthcare provider (PHCP) is preparing to intubate a client. The PHCP prescribes succinylcholine. The nurse understands that this medication is intended to

The nurse is caring for a client with narcolepsy. The nurse anticipates which prescription from the primary healthcare provider?

The nurse is caring for a client with suspected placenta previa. ➢ The nurse anticipates an order for which diagnostic test to confirm this finding?

The nurse observes sparks coming from the light fixture in a client’s bathroom. ➢ Which of the following actions should the nurse take first?

The nurse is performing a home visit to the parents of a newborn. The nurse witnesses the father's direct eye contact with the infant and shows affection. The nurse should document this finding as

The charge nurse is orientating a newly hired nurse to the charge nurse role. ➢ Which observation by the charge nurse requires follow-up? The newly hired nurse Select all that apply.