Fundamentals of Nursing NCLEX Exam Solved

Fundamentals of Nursing NCLEX Exam Solved A client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client's history? - Answer- Iron-deficiency anemia A computed tomography scan of the chest with contrast is scheduled to be performed in a client suspected of having a pulmonary embolism. In planning the preprocedure care for this client, which nursing action is necessary? - Answer- Ask the client about allergies and previous reactions. The nurse prepares a client 1 hour prior to surgery. Which assessment finding does the nurse need to communicate to the surgeon at this time? - Answer- Daily garlic capsules, last dose yesterday morning The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and has been taking acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client makes which statement? - Answer- "I need to continue to take the aspirin until the day of surgery." The nurse is administering enteral feedings via a nasogastric (NG) tube. The nurse would take which action when caring for the client to maintain client safety? - Answer- Check for tube placement and residual amount at least every 4 hours. The nurse is caring for a postoperative client who has just returned from the postanesthesia care unit after having nasal surgery. What priority action is essential for the nurse to perform? - Answer- Assessing how often the client swallows A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. The client's activated partial thromboplastin time (aPTT) is 65 seconds. The nurse anticipates that which action is needed? - Answer- Leaving the rate of the heparin infusion as is A client is in extreme pain from scrotal swelling that is caused by epididymitis. The nurse providing care for the client administers an opioid analgesic to relieve the pain, as prescribed. What is the next nursing action for this client? - Answer- Ensure that the call bell is within the client's reach. The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site? - Answer- Serous drainage Which outcome would the nurse expect to observe in the client who is recovering from viral hepatitis without complications? - Answer- Decrease in aspartate aminotransferase (AST) The nurse prepares a client for ear irrigation as prescribed by the primary health care provider. Which action would the nurse take when performing the procedure? - Answer- Warm the irrigating solution to 98.6° F (37.0° C). Which car safety device should be used for a child who is 8 years old and 4 feet tall? - Answer- Booster seat The nurse is scheduling diagnostic tests for a client. Which of the diagnostic tests prescribed would be performed last? - Answer- Barium swallow The nurse in the health care clinic is preparing to obtain a throat swab for culture in a client suspected of having a beta-hemolytic streptococcal infection. Which actions are appropriate in collecting this specimen? Select all that apply. - Answer- Swab the tonsillar pillars and the posterior pharynx wall. Tell the client that the test will help to identify microorganisms. Place a tongue depressor on the client's tongue before swabbing the throat. instruct the client to tilt head back The nurse is talking to the parent of a 2-month-old infant who is being seen in the primary health care provider's office for a well-child visit. Which statement by the parent would indicate that further teaching is needed about nutrition for this infant? - Answer- "I started my infant on cereal a week ago, and infant loves the rice cereal."