Green NCLEX Comprehensive Exam A
Prior to administering an oral suspension, what is the most important nursing action
Assess the client's ability to swallow liquids
Which situation demonstrates proper application of client confidentiality requirements for the
HIPAA
Old medical records are kept in a locked file cabinet in the department
A client has been on a mechanical ventilator for several days. What assessment data should the
nurse use to document and record this client's respirations
The ventilator setting for resp rate and the client-initiated resp
Which client is best to assign a graduate PN who is being oriented to a renal unit
A client with renal calculi whose urine needs to be strained
A client with rhabdomyolysis tells the nurse about falling while going to the bathroom and lying
on the floor for 24 hours before being found. Which current client finding is indicative of renal
complications
BUN >25
,A client has been receiving levofloxacin 500mg IV piggyback q4h for 7 days. The UAP reports to
the nurse that the client has had three loose foul-smelling stools this morning. What is the most
important nursing action for this client
Obtain a stool specimen for C&S
The charge nurse of a 16 bed medical unit is making 0700 to1900 shift assignments. The team
consists of two RNs, two LPNs, and two UAPs. which assignment is the most effective use of the
available team members
Assign the UAPs to take VS and obtain daily weights
A client with hemiplegia who is on bedrest is turned to the supine position and the nurse
determines that the client's hips are externally prorated. What is the best nursing action for this
client
Place trochanter rolls on the lateral aspects of the client's thighs
Which nursing is most important when caring for a client with multiple myeloma
pain scale measurement
, A client with schizophrenia tells the nurse, "The world is coming to an end. All the violence in
the Middle East is soon going to destroy the entire world!" how should the nurse respond
Listening to the news seems to be frightening you
Until the census on the OB unit increases, an UAP who usually works in L&D and the newborn
nursery is assigned to work on the postop unit. Which client would be best for the charge nurse
to assign to this UAP
A woman who had a hip replacement and may be transferred to the home care unit
A family is at the bedside of a 22 year old who was severely injured in a MVA. The health care
providers report to the family the absence of EEG waves and that the brain is essentially dead.
The family asks the nurse, "What should we do?" what is the nurse's best response
Unfortunately ethically, I am unable to offer my opinion
When the administration at a large urban medical center decides to establish a unit to care for
clients with infectious disease such as ebola and the avian flu, several employees express fear
r/t caring for these clients. When choosing staff to work on this unit, which action is best for the
nurse manager to take
Conduct an education program about infectious disease and then assess the staff's willingness
to work with these clients
Prior to administering an oral suspension, what is the most important nursing action
Assess the client's ability to swallow liquids
Which situation demonstrates proper application of client confidentiality requirements for the
HIPAA
Old medical records are kept in a locked file cabinet in the department
A client has been on a mechanical ventilator for several days. What assessment data should the
nurse use to document and record this client's respirations
The ventilator setting for resp rate and the client-initiated resp
Which client is best to assign a graduate PN who is being oriented to a renal unit
A client with renal calculi whose urine needs to be strained
A client with rhabdomyolysis tells the nurse about falling while going to the bathroom and lying
on the floor for 24 hours before being found. Which current client finding is indicative of renal
complications
BUN >25
,A client has been receiving levofloxacin 500mg IV piggyback q4h for 7 days. The UAP reports to
the nurse that the client has had three loose foul-smelling stools this morning. What is the most
important nursing action for this client
Obtain a stool specimen for C&S
The charge nurse of a 16 bed medical unit is making 0700 to1900 shift assignments. The team
consists of two RNs, two LPNs, and two UAPs. which assignment is the most effective use of the
available team members
Assign the UAPs to take VS and obtain daily weights
A client with hemiplegia who is on bedrest is turned to the supine position and the nurse
determines that the client's hips are externally prorated. What is the best nursing action for this
client
Place trochanter rolls on the lateral aspects of the client's thighs
Which nursing is most important when caring for a client with multiple myeloma
pain scale measurement
, A client with schizophrenia tells the nurse, "The world is coming to an end. All the violence in
the Middle East is soon going to destroy the entire world!" how should the nurse respond
Listening to the news seems to be frightening you
Until the census on the OB unit increases, an UAP who usually works in L&D and the newborn
nursery is assigned to work on the postop unit. Which client would be best for the charge nurse
to assign to this UAP
A woman who had a hip replacement and may be transferred to the home care unit
A family is at the bedside of a 22 year old who was severely injured in a MVA. The health care
providers report to the family the absence of EEG waves and that the brain is essentially dead.
The family asks the nurse, "What should we do?" what is the nurse's best response
Unfortunately ethically, I am unable to offer my opinion
When the administration at a large urban medical center decides to establish a unit to care for
clients with infectious disease such as ebola and the avian flu, several employees express fear
r/t caring for these clients. When choosing staff to work on this unit, which action is best for the
nurse manager to take
Conduct an education program about infectious disease and then assess the staff's willingness
to work with these clients
