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