NCLEX-RN test uworld
1/12
, The nurse is reinforcing education to the "We will not administer insulin if our child is unable to eat."
caregivers of a 9-year-old client diagnosed
with scarlet fever. The client has a history of
type 1 diabetes mellitus. Which statement by
the caregivers indicates that further teaching
is needed?
1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and
A client is diagnosed with right-sided Bell's
sensory alterations. Clients are usually managed as outpatients, with corticosteroids to
palsy. What instructions should the nurse give reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close
this client for care at home? properly. This may result in eye dryness and risk of corneal abrasions. However, weakness
Select all that apply. of teh lower eyelid may cause excessive tearing due to overflow in some clients. Facial
muscle weakness results in poor chewing and food retention.
The spouse brings a client to the emergency Place the client in an inside hallway with one-on-one observation.
department due to erratic behavior and
expressions of despair. The emergency
department is extremely busy with many
clients. When the triage nurse asks if the
client feels suicidal now, the client shrugs the
shoulders. What initial action should the
triage nurse take?
The orthopedic health care provider instructs 4-point gait
a client with a fractured femur, who has been - there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
non-weight bearing for the past 5 weeks, to
progress to full weight bearing on the right
leg. which advanced crutch gait that most
closely resembles normal walking should the
office nurse teach the client?
4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle.
2. Inject medication slowly with dominant hand while maintaining traction
`A nurse administers an intramuscular (IM)
6. Wait 10 seconds after injecting the medication and withdraw the needle. Release the
injection using the Z-track method technique.
Place the steps in chronological order. All hold on the skin, allowing the layers to slide back to their original position.
options must be used. 1. Apply gentle pressure at the injection site but do not massage.
The clinic nurse is teaching a client about "If this makes my stomach upset, I will take it with an antacid."
levothyroxine, which the health care provider - will impair the absorption of levothyroxine (Synthroid). -- Antacids, calcium andiron
has prescribed for newly diagnosed
preparations.
hypothyroidism. Which statement made by
the client indicates that further teaching is - should take levothyroxine on an empty stomach, preferably in the morning,separately
needed? from other medications
Client at 24 weeks gestation with hemoglobin of 9 g/dL (90 g/L) and hematocrit of 29%
The nurse is reviewing laboratory results for - during the second half of pregnancy, the fetus beings to store iron, depleting maternal
several prenatal clients. Which finding is most stores. Hemoglobin <11 g/dL in the first or third trimester or <10.5 g/dL in the second
important to report to the health care trimester is considered low.
provider?
2/12
1/12
, The nurse is reinforcing education to the "We will not administer insulin if our child is unable to eat."
caregivers of a 9-year-old client diagnosed
with scarlet fever. The client has a history of
type 1 diabetes mellitus. Which statement by
the caregivers indicates that further teaching
is needed?
1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and
A client is diagnosed with right-sided Bell's
sensory alterations. Clients are usually managed as outpatients, with corticosteroids to
palsy. What instructions should the nurse give reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close
this client for care at home? properly. This may result in eye dryness and risk of corneal abrasions. However, weakness
Select all that apply. of teh lower eyelid may cause excessive tearing due to overflow in some clients. Facial
muscle weakness results in poor chewing and food retention.
The spouse brings a client to the emergency Place the client in an inside hallway with one-on-one observation.
department due to erratic behavior and
expressions of despair. The emergency
department is extremely busy with many
clients. When the triage nurse asks if the
client feels suicidal now, the client shrugs the
shoulders. What initial action should the
triage nurse take?
The orthopedic health care provider instructs 4-point gait
a client with a fractured femur, who has been - there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
non-weight bearing for the past 5 weeks, to
progress to full weight bearing on the right
leg. which advanced crutch gait that most
closely resembles normal walking should the
office nurse teach the client?
4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from the injection site.
3. Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle.
2. Inject medication slowly with dominant hand while maintaining traction
`A nurse administers an intramuscular (IM)
6. Wait 10 seconds after injecting the medication and withdraw the needle. Release the
injection using the Z-track method technique.
Place the steps in chronological order. All hold on the skin, allowing the layers to slide back to their original position.
options must be used. 1. Apply gentle pressure at the injection site but do not massage.
The clinic nurse is teaching a client about "If this makes my stomach upset, I will take it with an antacid."
levothyroxine, which the health care provider - will impair the absorption of levothyroxine (Synthroid). -- Antacids, calcium andiron
has prescribed for newly diagnosed
preparations.
hypothyroidism. Which statement made by
the client indicates that further teaching is - should take levothyroxine on an empty stomach, preferably in the morning,separately
needed? from other medications
Client at 24 weeks gestation with hemoglobin of 9 g/dL (90 g/L) and hematocrit of 29%
The nurse is reviewing laboratory results for - during the second half of pregnancy, the fetus beings to store iron, depleting maternal
several prenatal clients. Which finding is most stores. Hemoglobin <11 g/dL in the first or third trimester or <10.5 g/dL in the second
important to report to the health care trimester is considered low.
provider?
2/12
