Test Bank-2021 Udpdated NCLEX-RN Ascencia

Test Bank-2021 Udpdated NCLEX-RN Ascencia 1. An enema is prescribed for a client with suspected appendicitis. The nurse should take which action? A. tell the client to lie on his left side B. explain the procedure to the client C. compile necessary equipment D. question the physician about the order Health Promotion and Maintenance 2. A 28-year-old client has just given birth. At one minute the baby appears healthy, with the exception of bluish hands. Which of the following would the nurse midwife pronounce? A. The Apgar score is 11. B. The Apgar score is 9. C. The Apgar score is 6. D. The Apgar score is 4. 3. The client’s first day of her last period was January 24. Which of the following should the nurse tell the client is her expected date of delivery? A. September 30 B. October 31 C. November 15 D. December 1 4. The nurse is discussing concerns the parent has with his 3- year-old. The parent identifies limitations in the child’s activities. Select all that should be of concern to the nurse. A. unable to work simple toys B. unable to understand simple instructions C. unable to say first and last name D. unable to name any colors or numbers 5. The nurse is providing education at a senior center. Which of the following measures will the nurse say is most effective in attaining normal blood pressure in a client with hypertension? A. eating red meat daily B. increasing potassium and calcium intake C. increasing fluid intake D. decreasing sodium intake 6. A 9-month-old child is registered to attend a local childcare clinic. Upon initial intake, the nurse discovers the child has received the first and second dose of the hepatitis B vaccine. What is the best course of action for the nurse to recommend to the parents? A. no action; a third dose of the vaccine is not recommended B. immediately inoculate the child given the high risk of not having a third vaccine C. wait until the child is 12 months to give the vaccine D. schedule the child for the third vaccine at the earliest convenience 7. The nurse is teaching a smoking cessation program. He will state that which of the following benefits of quitting appear within one year? A. risk of coronary heart disease is the same as that of a nonsmoker B. carbon monoxide level in blood drops to normal C. risk of dying from lung cancer is about half that of a smoker’s D. risk of having a stroke is reduced to that of a nonsmoker’s 8. The nurse is preparing a community educational presentation. The topic is the leading causes of death for people ages 12 – The nurse knows that which of the following should be presented? A. unintentional injuries B. cancer C. homicide D. suicide 9. The nurse identifies a client’s learning preference as visual. Which of the following would be appropriate when teaching the client about insulin injection? A. an audiotape B. an orange, an insulin syringe, an alcohol wipe, and a bottle of sterile saline C. classroom discussion D. an instructional pamphlet