Enfermera En Estados Unidos NCLEX
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- Category: NCLEX CAT
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1. A nurse is caring for a client who is admitted to the hospital with the diagnosis of primary hyperparathyroidism. Which action should be included in this clients plan of care?
2. A client with diabetes asks the nurse whether the new forearm stick glucose monitor gives the same results as a fingerstick. What is the nurse’s best response to this question?
3. A clients blood gases reflect diabetic ketoacidosis. Which clinical indicator should the nurse expect to identify when monitoring this client’s laboratory values?
4. A client is scheduled to have a thyroidectomy. Which medication does the nurse anticipate the health care provider will prescribe to decrease the size and vascularity of the thyroid gland before surgery?
5. For which client response should the nurse monitor when assessing for complications of hyperparathyroidism?
6. A nurse is preparing to give a client a tepid bath and uses a bath thermometer to test the water temperature. What is the acceptable temperature range for a tepid bath?
7. A nurse is caring for a newly admitted client with a diagnosis of Graves disease. In preparing a teaching plan, the nurse anticipates which diet will be ordered for this client?
8. A health care provider orders the application of a warm soak to an IV site that has infiltrated. What principle does the nurse determine is in operation when the application of local heat transfers temperature to the body?
9. A nurse is planning to teach facts about hyperglycemia to a client with the diagnosis of diabetes. What information should the nurse include in the discussion about what causes diabetic acidosis?
10. A client is admitted for malignant melanoma that was discovered during a routine eye examination. For which preferred treatment does the nurse expect the client to be scheduled?
11. A client with type 1 diabetes mellitus has a fingerstick glucose level of 258 mg/dL at bedtime. A prescription for sliding scale regular insulin (Novolin R) exists. What should the nurse do?
12. When taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. The nurse notifies the health care provider. Which should the nurse expect the health care provider to prescribe?
13. A nurse identifies that the client is experiencing a hypoglycemic reaction. Which nursing intervention should the nurse implement to relieve the symptoms associated with this reaction?
14. Which is an independent nursing action that should be included in the plan of care for a client after an episode of ketoacidosis?
15. A client has a glycosylated hemoglobin measurement of 6%. What should the nurse conclude about this client when planning a teaching plan based on the results of this laboratory test?
16. A nurse in the postanesthesia care unit is caring for a client who just had a thyroidectomy. For which client response is it most important for the nurse to monitor?
17. A client with hyperthyroidism asks the nurse about the tests that will be ordered. Which diagnostic tests should the nurse include in a discussion with this client?
18. A nurse is caring for a client who is admitted to the hospital for medical management of heart failure and severe periph eral edema. For which clinical indicators associated with unresolved severe peripheral edema should the nurse assess the client?
19. On the first postoperative day following a thyroidectomy, a client tolerates a full-fluid diet. This is changed to a soft diet on the second postoperative day. The client reports having a sore throat when swallowing. What should the nurse do first?
20. The nurse identifies that the dietary teaching provided for a client with diabetes is understood when the client states, “My diet:
21. A nurse is caring for a client admitted for removal of basal cell carcinoma and reconstruction of the nose. About which contributing factor should the nurse question the client when collecting a health history?
22. A nurse is caring for a client after radioactive iodine is administered for Graves disease. What information about the clients condition after this therapy should the nurse consider when providing care?
23. A nurse is caring for a client who is experiencing an underproduction of thyroxine. Which client response is associated with an underproduction of thyroxine (T4)?
24. A nurse is transferring a client with a diagnosis of pheochromocytoma from a bed to a chair. What is the most important nursing intervention associated with this procedure for this client?
25. A client with type 1 diabetes comes to the clinic because of concerns regarding erratic control of blood glucose with the prescribed insulin therapy. The client has been experi-encing a sudden fall in the blood glucose level, followed by a sudden episode of hyperglycemia. Which complication of insulin therapy should the nurse conclude that the client is experiencing?
26. A client with diabetes is given instructions about foot care. The nurse determines that the instructions are understood when the client states, “I will:
27. A nurse administers the prescribed regular insulin (Novolin R) to a client in diabetic ketoacidosis. In addition, the nurse anticipates that the IV solution prescribed will contain potassium to replenish potassium ions in the extracellular fluid that are being:
28. A nurse is caring for a client with type 1 diabetes, and the health care provider prescribes one tube of glucose gel. What is the primary reason for the administration of glucose gel to this client?
29. A 24-hour urine test is ordered for a client who has a tenta tive diagnosis of pheochromocytoma. What should the nurse do?
30. A nurse working in the diabetes clinic is evaluating a client’s success with managing the medical regimen. Which is the best indication that a client with type 1 diabetes is successfully managing the disease?
31. A client is learning alternate site testing (AST) for glucose monitoring. Which client statement indicates to the nurse that additional teaching is necessary?
32. A client with psoriasis asks the nurse what can help this condition. Which should the nurse include in a teaching plan for this client?
33. A nurse is caring for a client who is scheduled to have a pigskin graft applied to a burned area. Which type of graft is going to be applied by the health care provider?
34. A nurse is evaluating a clients fluid loss resulting from extensive burns. What is the most valuable blood test to use when monitoring a client’s fluid loss?
35. A nurse is caring for a client with scabies. Which information about scabies should the nurse consider when planning care for this client?
36. Which is the most difficult problem for the nurse to manage when meeting the needs of an extensively burned client 3 days after admission?
37. A nurse plans an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin (Novolin N). What does this snack provide?
38. A nurse is caring for a client newly diagnosed with type 1 diabetes. When the health care provider tries to regulate this client’s insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia and 15 g of a simple sugar is prescribed. What is the reason this is administered when a client experiences hypoglycemia?
39. A nurse is assessing a client for possible laryngeal nerve injury following a thyroidectomy. Which action should the nurse implement on an hourly basis?
40. Propylthiouracil (PTU) is prescribed for a client diagnosed with hyperthyroidism. The client asks the nurse, “Why do I have to take this medication if I am going to get the atomic cocktail?” The nurse explains that the medication is being prescribed because it decreases the:
41. What should a nurse do immediately when a client returns from the postanesthesia care unit following a subtotal thyroidectomy?
42. A urine specimen is needed to test for the presence of ketones in a client who is diabetic. What should the nurse do when collecting this specimen from a urinary retention catheter?
43. A client newly diagnosed with scleroderma states, “Where did I get this from?” The nurse’s best response is “Although no cause has been determined for scleroderma, it is thought to be the result of:
44. A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. What is the nurse’s primary responsibility 2 days after surgery when preparing the client to eat dinner?
45. A nurse is caring for a client with diabetes who is scheduled for a radiographic study requiring contrast. Which should the nurse expect the health care provider to prescribe?
46. For which clinical manifestation should the nurse assess a client with metastatic melanoma?
47. A nurse is caring for a client who just had a thyroidectomy. For which client response should the nurse assess the client when concerned about an accidental removal of the parathyroid glands during surgery?
48. A nurse is monitoring a client’s fasting plasma glucose (FPG) level. At which FPG level should the nurse identify that the client has prediabetes?
49. A nurse is caring for a client who experienced serious burns in a fire. Which relationship between a clients burned body surface area and fluid loss should the nurse consider when evaluating fluid loss in a client with burns?
50. A nurse is caring for a client with the diagnosis of pemphigus vulgaris. Which expected response does the nurse need to address in the client’s plan of care?
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