- Details
- Category: NCLEX CAT
1. A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis?
2. An IV infusion of magnesium sulfate is prescribed for a client with severe preeclampsia. The dose is twice the usual adult dose. When a nurse questions the dosage, the health care provider insists that it is the desired dose and directs the nurse to administer the medication. How should the nurse respond to this directive?
3. A client with severe preeclampsia is hospitalized. What should a nurse do first to ensure her physical safety?
4. A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client?
5. A nurse is assessing a newborn. What finding indicates the need for follow-up care?
- Details
- Category: NCLEX CAT
1. A client who is at 26 weeks’ gestation arrives at the clinic for her scheduled examination. Her blood pressure is 150/86. She tells the nurse that she has gained 5 pounds in the last 2 weeks. What is the priority nursing action?
2. A new mother refuses to look at her newborn who has a severe birth defect. What is the nurse’s most therapeutic approach?
3. An African-American woman is diagnosed with primary hypertension. She asks, “Is hypertension a disease of African- American people?” What is the nurse’s best response?
4. An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt. Which common complication of this type of surgery should the nurse explain to the parents to prepare them for their child’s discharge?
5. Parents are considering a bone marrow transplant for their child who has recurrent leukemia. The parents ask the nurse for clarification about the procedure. What is the best response by the nurse?
- Details
- Category: NCLEX CAT
1. A high school nurse observes a 14-year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
Request a private evaluation of the female's scalp from her parents.
Contact the female's parents about the observations.
Observe the hairline and scalp for possible signs of lice.
Contact the student's physician.
2. A thirty-seven-year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
A certified nursing assistant states, "The patient in 307 is not wearing gloves shaving her legs."
A nursing assistant at the nursing station states, "The patient in 307 has a respiratory rate of 16."
A nursing student in the cafeteria states, "Dr. Jones told the patient in room 307 that she was going to die."
A certified nursing assistant states, "Dr. Jones hasn't made rounds this morning."
3. Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?
Muscle tetany
Syncope
Numbness
Anxiety
4. Which of the following is not considered one of the five rights of medication administration?
client
drug
dose
routine
5. A nurse has been instructed to place an IV line in a patient that has active TB and HIV. Which of the following safety equipment should wear the nurse?
Sterile gloves, mask, and goggles
Surgical cap, gloves, mask, and proper shoe wear
Double gloves, gown, and mask
Goggles, mask, gloves, and gown
- Details
- Category: NCLEX CAT
1. An infant who was just circumcised is to be discharged with his parents. What should the nurse include in the discharge instructions about postcircumcision care?
2. A nurse is caring for a client with a spinal cord injury during the immediate postinjury period. What is the primary focus of nursing care during this immediate phase?
3. A client asks for and receives instruction regarding birth control methods. She elects to use a diaphragm with a spermicide. What disadvantage of using a diaphragm should be explained to the client?
4. A nurse is caring for a client in labor. What client response indicates that the transition phase of labor probably has begun?
5. A male client receiving hemodialysis undergoes surgery to create an arteriovenous fistula. Before discharge, the nurse discusses care at home with the client and his wife. Which statement by the client’s wife indicates that further teaching is required?
- Details
- Category: NCLEX CAT
1. A health care provider informs a client that a T-tube will be in place after an abdominal cholecystectomy and a choledochostomy. What should the nurse include in the preoperative teaching for this client regarding the primary reason why a T-tube is necessary?
2. In the immediate postoperative period after a gastrectomy, the client’s nasogastric tube is draining a light-red liquid. For how long should the nurse expect this type of drainage?
3. A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome?
4. An external monitor is placed on the abdomen of a client admitted in active labor. The nurse identifies that during each contraction, the fetal heart rate decelerates as the contraction peaks. What should the nurse do next?
5. A client who has had thoracic surgery is admitted to the postanesthesia care unit (PACU). What should the nurse do after the chest tube is attached to a disposable plastic waterseal drainage system?
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