Nclex-Rn Readiness Test 9

The nurse is assessing a client with suspected acute myocardial infarction. ➢ Which of the following findings would support a diagnosis of acute myocardial infarction (AMI)? Select all that apply.

The nurse is presenting at a conference on the management of mental health disorders.➢ Which statement would be appropriate for the nurse to make regarding schizophrenia?

The nurse is caring for a client scheduled to receive enteral feedings via a nasogastric tube (NGT). ➢ Which method is the most reliable for verifying initial NGT placement?

The nurse has just finished assisting the physician in performing a paracentesis. What should be the priority nursing intervention following the procedure?

Intravenous therapies often consist of electrolyte replacement therapies. Select the electrolyte that is accurately paired with one of its functions.

The nurse is assessing a child with reports of right eye irritation, drainage, and itchiness. This client is at highest risk for developing

The nurse has performed a cardiovascular assessment on a client, and while auscultating heart tones, the nurse auscultates a harsh blowing sound. The nurse should document this finding as a

The nurse is performing a home safety assessment for an older adult. ➢ Which of the following client statements would require follow-up by the nurse?

The nurse is caring for a client who is immediately postoperative following a colon resection with the placement of a colostomy. Which of the following client problems are of greatest concern?

The nurse is preparing to apply a prescribed nitroglycerin ointment to a client. The nurse should

The nurse is taking the vital signs of a pregnant client in active labor. When she inflates the blood pressure cuff, she looks at the fetal monitor and notices that the fetal heart rate increases abov

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

The nurse is caring for an adolescent taking prescribed paroxetine. Which of the following statements, if made by the client, would require immediate follow-up?

The nurse is prioritizing caring for four assigned clients. ➢ Based on the pulse (P), respiratory rate (R), and blood pressure (BP) provided, which of the clients should the nurse follow up with first

The nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate follow-up?

The nurse is assessing a client with a myxedema coma. Which of the following would be an expected finding?

The nurse preceptor is observing a newly hired nurse care for assigned clients. ➢ It would require follow-up by the nurse preceptor if the newly hired nurse is observed doing which of the following?

The nurse is calculating intake for a client. The client received: 0.9% saline at 125 mL/hr for six hours three 8-ounce cups of cranberry juice one 8-ounce cup of coffeeone 8-ounce cup of water➢ How m

The nurse is preparing to remove a peripheral vascular access device. Which personal protective equipment (PPE) is necessary for this procedure?

The nurse is providing dietary education to a client with renal failure who is receiving hemodialysis. ➢ The nurse determines that the teaching has been effective when the client selects which items f

The occupational health nurse is conducting an in-service on reducing back injuries. ➢ Which of the following statements, if made by a participant, would indicate a correct understanding of the confer

The parents of a 2-year old with Hirschsprung’s disease are talking to the nurse in the family clinic. They ask the nurse about treatment options for Hirschsprung’s disease; the nurse understands that

The nurse is reviewing data for a client who is establishing primary care➢ Click to highlight the findings from the history and physical that are risk factors for diabetes mellitus (type two).

The charge nurse of a medical-surgical unit is informed that the nursing unit is short-staffed. Which task should the charge nurse delay in order to meet all client needs?

The nurse reviews prescriptions for packed red blood cell (PRBC) transfusions. Which PRBC transfusion should the nurse question with the primary healthcare provider (PHCP)? A client