Kaplan RN Exit Exam Mastery: Complete Review, Practice Questions& Rationales

KAPLAN 1 RN
NCLEX-RN Prep, Twenty-sixth Edition

,A client with dyspnea is being admitted to the medical unit. To best prepare for the

client’s arrival, the nursing attendant should ensure that the client’s bed is in which

position?

A. Supine

B. supine; feet elevated higher than head

C. supine; head elevated higher than feet

D. Fowlers - RIGHT ANSWER:->>- Fowlers




The nursing attendant is taking the blood pressure measurement of a hospital client

with Parkinson's sickness. Which information in the hospital client's admission

assessment is relevant to the nursing attendant's plan for taking the blood pressure

reading? (Select all the apply)

A. Frequent syncope

B. Occasional nocturia

C. Flat affect

D. Blurred vision

E. Frequent drooling - RIGHT ANSWER:->>- A. Frequent syncope




While caring for a hospital client's postoperative dressing, the nursing attendant

observes purulent drainage at the wound. Before reporting this finding to the

healthcare provider, the nursing attendant should review which of the hospital client's

laboratory values?

A. Serum albumin

,B. Culture for sensitive organisms

C. Serum blood glucose level

D. Creatinine level - RIGHT ANSWER:->>- B. Culture for sensitive organisms




A preschool-aged client is admitted to the pediatric unit following successful

resuscitation from a near-drowning incident. While providing care to the child, the

nursing attendant begins talking with his preadolescent brother who rescued the child

from the swimming pool and initiated resuscitation. The nursing attendant notices the

older client becomes withdrawn when asked about what happened. Which action

should the nursing attendant take?

A. Develop a water safety teaching plan for the family

B. Ask the older brother how he felt during the incident

C. Tell the older brother that he seems depressed

D. Commend the older brother for his heroic actions - RIGHT ANSWER:->>- B.

Ask the older brother how he felt during the incident




A male hospital client with cirrhosis has jaundice and pruritus. He tells the nursing

attendant that he has been soaking in hot baths at night with no relief of his discomfort.

Which action should the nursing attendant take?

A. Encourage the hospital client to use cooler water and apply calamine lotion after

soaking

B. Obtain a PRN prescription for an analgesic that the hospital client can use for symptom

relief

, C. Suggest that the hospital client take brief showers and apply oil-based lotion after

showering

D. Explain that the symptoms are caused by liver damage and cannot be relieved -

RIGHT ANSWER:->>- A. Encourage the hospital client to use cooler water and apply

calamine lotion after soaking




An older hospital client with a long history of coronary artery sickness (CAD),

hypertension (HTN), and heart failure (HF) arrives in the Emergency Department (ED)

in respiratory

distress. The healthcare provider prescribes furosemide IV. Which therapeutic response

to furosemide should the nursing attendant expected in the hospital client with acute

HF?

A. Increased cardiac contractility

B. Reduced preload

C. Relaxed vascular tone

D. Decreased afterload - RIGHT ANSWER:->>- B. Reduced preload




Which intervention should the nursing attendant include in the plan of care for a child with

tetanus?

A. Encourage coughing and deep breathing

B. Minimize the amount of stimuli in the room

C. Reposition from side to side every hour

D. Open window shades to provide natural light - RIGHT ANSWER:->>- B. Minimize