- Details
- Category: NCLEX CAT
1. A nurse in the prenatal clinic is providing nutritional counseling for a pregnant woman with a cardiac problem. What should the nurse advise the client to do?
2. Which clients health problem motivates the nurse to question a prescription for a beta blocker?
3. A nurse in the emergency department is assessing a client who was beaten and sexually assaulted. Which is the nurse’s priority assessment?
4. A child with P-Thalassemia is receiving therapy that includes multiple blood transfusions. This child is at risk for developing which complication?
5. A client exhibits physical symptoms in response to stress. What nursing intervention may assist the client to reduce the use of physical symptoms as a response to stress?
- Details
- Category: NCLEX CAT
1. A nurse is teaching a group of parents about child abuse. What definition of assault should the nurse include in the teaching plan?
2. A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing process should include interpretation of data collected about the client?
3. When being interviewed for a position as a registered professional nurse, the applicant is asked to identify an example of an intentional tort. What is the appropriate response?
4. A newly oriented home health nurse on a first visit checks the client’s vital signs and obtains a blood sample for an international normalization ratio (INR). After completion of these tasks, the client asks the nurse to straighten the blankets on the bed. What is the nurse’s most appropriate response?
5. What is a basic concept associated with rehabilitation that the nurse should consider when formulating discharge plans for clients?
- Details
- Category: NCLEX CAT
1. While awaiting the biopsy report before removal of a tumor, the client reports being afraid of a diagnosis of cancer. How should the nurse respond?
2. A nurse explains to an obese client that the rapid weight loss during the first week after initiating a diet is because of fluid loss. The weight of extracellular body fluid is approximately 20% of the total body weight of an average individual. Which component of the extracel-lular fluid contributes the greatest proportion to this amount?
3. A client with a terminal illness reaches the stage of acceptance. How can the nurse best help the client during this stage?
4. A physically ill client is being verbally aggressive to the nursing staff. What is the most appropriate initial nursing response?
5. A client is hospitalized with a tentative diagnosis of pancreatic cancer. On admission the client asks the nurse, “Do you think I have anything serious, like cancer?” What is the nurse’s best reply?
- Details
- Category: NCLEX CAT
1. A health care provider orders thigh-high antiembolism stockings for a client with varicose veins. The client’s thighs are heavier than the lower legs, and the stockings fit on the lower leg but are causing discomfort and indentations on the upper thighs. What should the nurse do?
2. A nurse inspects a two-day-old intravenous site and identifies erythema, warmth, and mild edema. The client reports tenderness when the area is palpated. What should the nurse do first?
3. A nurse is providing dietary instruction to a client with cardiovascular disease. Which dietary selection by the client indicates the need for further instruction?
4. A nurse prepares a client for insertion of a pulmonary artery catheter. What information can be obtained from monitoring the pulmonary artery pressure?
5. A client being treated for hypertension reports having a persistent hacking cough. What class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client’s medications?
- Details
- Category: NCLEX CAT
1. What group of clients should the nurse anticipate to have the highest incidence of non-Hodgkin lymphomas?
2. What clinical finding should the nurse expect when assessing a client who had a splenectomy?
3. A nurse is advising a client about the risks associated with failing to seek treatment for acute pharyngitis caused by beta-hemolytic streptococcus. For what health problem is the client at risk?
4. A nurse uses abdominal-thoracic thrusts (Heimlich maneu-ver) when an older adult in a senior center chokes on a piece of meat. Which volume of air is the basis for the efficacy of the abdominal thrusts to expel a foreign object in the larynx?
5. A client is started on a continuous infusion of heparin. Which finding does the nurse use to conclude that the intervention is therapeutic?
- Details
- Category: NCLEX CAT
1. A client is scheduled for a pulmonary function test. The nurse explains that during the test one of the instructions the respiratory therapist will give the client is to breathe normally. What should the nurse teach is being measured when the client follows these directions?
2. A spontaneous pneumothorax is suspected in a client with a history of emphysema. In addition to calling the health care provider, what action should the nurse take?
3. A client with a pulmonary embolus is intubated and placed on mechanical ventilation. What nursing action is important when suctioning the endotracheal tube?
4. A nurse assesses that several clients have low oxygen saturation levels. Which client would benefit the most from receiving oxygen via a nasal cannula?
5. A chest tube is inserted into a client who was stabbed in the chest and is attached to a closed-drainage system. Which is an important nursing intervention when caring for this client?
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