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NCLEX RN PRACTICE QUIZ AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NCLEX RN PRACTICE QUIZ AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (25) Th nurse initiates sterile wound care on a client's newly debrided foot ulcer. After removing the dressing and beginning a betadine cleanse, the client mentions an allergy to iodine not previously reported. Place the nursing actions in order of priority. 1. Ask client about the type of "allergic response." 2. Remove betadine solution from found with normal saline 3. Cover wound with temporary sterile dressing 4. Observe client for signs or symptoms of reaction 5. Notify primary care physician. The nurse is examining a client in the emergency department who is suspected of having acute cholecystitis. What data obtained by the nurse would help to validate this problem? - Abdominal guarding - Anorexia - Positive murphy's sign - Steady epigastric pain A client has arrived at the emergency room reporting tingling to both lower legs over the past 24 hours. The only significant health history is a cold for the past week. During the nursing assessment, the client indicates that both thighs are feeling numb. What priority action should the nurse initiate immediately. Prepare for intubation. - Symptoms indicate the onset of Guillian-Barre syndrome - an acute inflammatory disease that may occur following a respiratory illness and is characterized by progressive, ascending paralysis. For a client with a major burn, which evaluation criterion identified by the nurse best indicates that fluid resuscitation has been effective during the first 24 hours of care? Urine output of 860 mL/24 hours A nurse is planning a teaching session for a group of clients diagnosed with irritable bowel syndrome. What points should the nurse include to help the clients control symptom flare-ups? - If you are constipated, try to make sure you have breakfast - If you think a certain food is the problem, try cutting it out of your diet for about 12 weeks. - Drinks containing caffeine are more likely to contribute to symptoms. The nurse recognizes which manifestations as signs of community-acquired pneumonia? - Cough - Fever - Myalgia - Pleuritic chest pain. During a health fair, a client asks the nurse about the methods used to detect prostate cancer. What should the nurse tell the client about the detection process? Digital rectal exam (DRE) and prostate-specific antigen (PSA) test to evaluate the prostate Four clients are admitted to the medical- surgical unit. The nurse is aware that what client will need standard precautions only. The client with pancreatitis. An elderly client returns to a surgical room from the post anesthesia care unit (PACU) following an open reduction and fixation of a fractured ankle. Which nursing assessment of the client takes priority? Complete vital signs The community health nurse is planning to teach nutritional education to a group of adults attending a health fair. What tips about health eating should the nurse include? - Pay attention to fullness cues during meals - Use a smaller plate for meals. The nurse, assessing the lung sounds of a client diagnosed with pneumonia, notes diminished lung sounds and dull percussion in the lower lungs bilaterally. What intervention is correct by the nurse? Instruct the client to perform incentive spirometer every hour.

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3/21/25, 2:48 NCLEX RN practice quiz Flashcards |
PM
NCLEX RN PRACTICE QUIZ AND ANSWERS WITH COMPLETE SOLUTIONS

VERIFIED LATEST UPDATE


Terms in this set (25)




Th nurse initiates sterile wound care on 1. Ask client about the type of "allergic response."

a client's newly debrided foot ulcer. 2.Remove betadine solution from found with normal saline
After removing the dressing and
3.Cover wound with temporary sterile dressing
beginning a betadine cleanse, the client
4.Observe client for signs or symptoms of reaction
mentions an
5. Notify primary care physician.
allergy to iodine not previously reported.

Place the nursing actions in order of

priority.

The nurse is examining a client in the - Abdominal guarding

emergency department who is suspected - Anorexia

of having acute cholecystitis. What - Positive murphy's sign
data obtained by the nurse would
- Steady epigastric pain
help to

validate this problem?




A client has arrived at the emergency room Prepare for intubation.

reporting tingling to both lower legs over

the past 24 hours. The only significant
- Symptoms indicate the onset of Guillian-Barre syndrome - an acute inflammatory
health history is a cold for the past week.
disease that may occur following a respiratory illness and is characterized by
During the nursing assessment, the client progressive, ascending paralysis.

indicates that both thighs are feeling numb.

What priority action should the nurse

initiate immediately.

For a client with a major burn, which Urine output of 860 mL/24 hours

evaluation criterion identified by the nurse

best indicates that fluid resuscitation has

been effective during the first 24 hours of

care?

A nurse is planning a teaching session for a - If you are constipated, try to make sure you have breakfast
1/
5

, 3/21/25, 2:48 NCLEX RN practice quiz Flashcards |
PM
group of clients diagnosed with irritable - If you think a certain food is the problem, try cutting it out of your diet for about

bowel syndrome. What points should the 12 weeks.

nurse include to help the clients control - Drinks containing caffeine are more likely to contribute to symptoms.

symptom flare-ups?

- Cough
The nurse recognizes which

manifestations as signs of community- - Fever

acquired - Myalgia

pneumonia? - Pleuritic chest pain.

During a health fair, a client asks the nurse Digital rectal exam (DRE) and prostate-specific antigen (PSA) test to evaluate the

about the methods used to detect prostate prostate

cancer. What should the nurse tell the

client about the detection process?




Four clients are admitted to the medical- The client with pancreatitis.

surgical unit. The nurse is aware that what

client will need standard precautions only.




An elderly client returns to a surgical Complete vital signs

room from the post anesthesia care unit

(PACU) following an open reduction and

fixation of a fractured ankle. Which

nursing

assessment of the client takes priority?

The community health nurse is planning to - Pay attention to fullness cues during meals

teach nutritional education to a group of - Use a smaller plate for meals.
adults attending a health fair. What tips

about health eating should the nurse

include?

The nurse, assessing the lung sounds of a Instruct the client to perform incentive spirometer every hour.

client diagnosed with pneumonia, notes

diminished lung sounds and dull percussion

in the lower lungs bilaterally. What

intervention is correct by the nurse?

The nurse is preparing to administer Bumetanide - is a loop diuretic - the client is allergic to sulfonamides, there is a cross

scheduled medications for a client. sensitivity with thiazides and sulfonamides.

Which medication would require
2/
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