HURST REVIEW NCLEX RN READINESS EXAM 1: LATEST A+
QUESTIONS AND ANSWERS EDITION.
A client is being admitted with a diagnosis of cirrhosis of the liver. What
assessment findings should the nurse anticipate in this client?
Firm, nodular liver. Increased ALT and AST levels. Bleeding from the GI tract
A client at 32 weeks gestation is admitted to the obstetric unit with a BP of 142/90
and 1+ proteinurea. Since no private rooms are available, the charge nurse must
assign the client to a semi-private room. Which client should the charge nurse
assign this client to room with?
Pre-term labor client with twins at 28 weeks gestation.
Which client in the Labor, Delivery, Recovery, and Postpartum Unit (LDRP)
should the nurse see first?
Primipara at 39 weeks gestation, who is dilated to three centimeters and at minus two
station who states, "I think my water just broke."
A client is admitted to the hospital with a platelet count of 132,000 mm3 and a
white cell count of 8,495 cells/mcL. What interventions should the nurse
implement?
Monitor stools for occult blood. Place on fall prevention. Restrict venipunctures.
The nurse is caring for a client prescribed vancomycin for Methicillin-Resistant
Staphylococcus Aureus (MRSA) infection. What nursing intervention is
appropriate?
Verify that the client's BUN and creatinine are within normal range.
In order to prevent injury or discomfort and maximize overall performance, what
essential elements of ergonomic principles should the nurse utilize when caring
for clients?
Promote maximal stability by utilizing a wide base of support. Maintain a low center of
gravity. Use both the arms and the legs when performing strenuous activity. Obtain
assistance from other nurses or nurse assistants as needed.
The nurse at the wellness clinic is teaching a client newly diagnosed with insulin-
dependent diabetes mellitus. The client asks about beginning an exercise
, program. The nurse bases the response on the fact that exercise has what effect
on the body?
Lowers the blood glucose. Provides more energy.
What should the nurse include when educating a client about the use of
nitroglycerin sublingual.
Do not swallow nitroglycerin. The medication may burn when taken. Sit or lie down
when taking this medication.
A client diagnosed with depression asks the nurse, "What is causing me to be
depressed so often?" What is the best response by the nurse?
"There are a number of reasons that may contribute to depression, such as a decreased
level of chemicals in your brain
A child is admitted to the hospital with a temp of 102.2°F ( 39.0°C), lethargic, and
no urinary output in 6 hours. Which prescription would be priority for the nurse to
initiate for this child?
Blood cultures times two
Which client should the charge nurse assign to a new RN?
\
Child needing pre-operative medication prior to reduction of a fracture.
The drug nadolol is prescribed for a client with stable angina. Which findings
would indicate to the nurse that the drug is effective?
Decreased anxiety Relief of chest pain. Lowered blood pressure.
The nurse is planning care for a newly admitted client who has an Arabic
surname and whose spouse is wearing a traditional head covering. After verifying
that the client prescriptions include a regular diet as tolerated, how would the
nurse best meet the religious dietary needs for this client?
Ask the client about dietary preferences needed to meet religious guidelines.
A client has been taking enoxaparin 40 mg subcutaneous once a day for 1 week.
Which action should the nurse take?
QUESTIONS AND ANSWERS EDITION.
A client is being admitted with a diagnosis of cirrhosis of the liver. What
assessment findings should the nurse anticipate in this client?
Firm, nodular liver. Increased ALT and AST levels. Bleeding from the GI tract
A client at 32 weeks gestation is admitted to the obstetric unit with a BP of 142/90
and 1+ proteinurea. Since no private rooms are available, the charge nurse must
assign the client to a semi-private room. Which client should the charge nurse
assign this client to room with?
Pre-term labor client with twins at 28 weeks gestation.
Which client in the Labor, Delivery, Recovery, and Postpartum Unit (LDRP)
should the nurse see first?
Primipara at 39 weeks gestation, who is dilated to three centimeters and at minus two
station who states, "I think my water just broke."
A client is admitted to the hospital with a platelet count of 132,000 mm3 and a
white cell count of 8,495 cells/mcL. What interventions should the nurse
implement?
Monitor stools for occult blood. Place on fall prevention. Restrict venipunctures.
The nurse is caring for a client prescribed vancomycin for Methicillin-Resistant
Staphylococcus Aureus (MRSA) infection. What nursing intervention is
appropriate?
Verify that the client's BUN and creatinine are within normal range.
In order to prevent injury or discomfort and maximize overall performance, what
essential elements of ergonomic principles should the nurse utilize when caring
for clients?
Promote maximal stability by utilizing a wide base of support. Maintain a low center of
gravity. Use both the arms and the legs when performing strenuous activity. Obtain
assistance from other nurses or nurse assistants as needed.
The nurse at the wellness clinic is teaching a client newly diagnosed with insulin-
dependent diabetes mellitus. The client asks about beginning an exercise
, program. The nurse bases the response on the fact that exercise has what effect
on the body?
Lowers the blood glucose. Provides more energy.
What should the nurse include when educating a client about the use of
nitroglycerin sublingual.
Do not swallow nitroglycerin. The medication may burn when taken. Sit or lie down
when taking this medication.
A client diagnosed with depression asks the nurse, "What is causing me to be
depressed so often?" What is the best response by the nurse?
"There are a number of reasons that may contribute to depression, such as a decreased
level of chemicals in your brain
A child is admitted to the hospital with a temp of 102.2°F ( 39.0°C), lethargic, and
no urinary output in 6 hours. Which prescription would be priority for the nurse to
initiate for this child?
Blood cultures times two
Which client should the charge nurse assign to a new RN?
\
Child needing pre-operative medication prior to reduction of a fracture.
The drug nadolol is prescribed for a client with stable angina. Which findings
would indicate to the nurse that the drug is effective?
Decreased anxiety Relief of chest pain. Lowered blood pressure.
The nurse is planning care for a newly admitted client who has an Arabic
surname and whose spouse is wearing a traditional head covering. After verifying
that the client prescriptions include a regular diet as tolerated, how would the
nurse best meet the religious dietary needs for this client?
Ask the client about dietary preferences needed to meet religious guidelines.
A client has been taking enoxaparin 40 mg subcutaneous once a day for 1 week.
Which action should the nurse take?
