Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
A client diagnosed with amyotrophic lateral sclerosis (ALS) is
scheduled for 160 mL of enteral feeding as a bolus every four
hours. Before flushing with water the nurse aspirates the gastric
feeding tube and gets back 180 mL of undigested feeding or
residual. What is the appropriate intervention guided by a health
care agency protocol?
A. reinsert the residual and then flush with sterile water
B. reinsert the residual and hold the next feeding
C. discard the residual and hold the next feeding
D. discard the residual and administer the feeding - ANSWER--B.
reinsert the residual and hold the next feeding
A client diagnosed with cystitis has been on oral antibiotics for 72
hours. Which report from the client requires further assessments
by a nurse?
A. "It burns when I go to the bathroom to pass my urine."
B. "My urine smells bad when I go to the bathroom."
C. "I have been sick at my stomach and don't feel like eating
much the past few days."
,Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
D. "I felt hot, took my temperature and it has been elevated for the
past 24 hours." - ANSWER--D. "I felt hot, took my temperature
and it has been elevated for the past 24 hours."
The nurse is using the image below to explain and clarify
information about the client's colostomy. Based on this image,
which of the following statements about the consistency of the
drainage is correct?
A. The feces are semiformed to formed
B. The feces have a normal, formed consistency
C. The feces are mushy (liquid to semiformed)
D. The feces are liquid to semiliquid and the discharge is often
irritating to the skin around the stoma - ANSWER--A. The feces
are semiformed to formed
A nurse administers cimetidine (Tagamet) to an older adult client
diagnosed with a gastric ulcer. Which function may be affected by
this medication, and should be closely monitored by the nurse?
A. mental status
B. blood pressure
,Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
C. liver function
D. red blood cells - ANSWER--A. mental status
A client receives high doses of a potassium bolus IV over a 30
minute period. Which focus is a priority to check prior to giving
this medication?
A. oral fluid intake
B. bowel sounds
C. grip strength
D. urine output - ANSWER--D. urine output
A client is discharged on warfarin sulfate (Coumadin). A nurse
recognizes that additional teaching is needed if the client makes
which incorrect comment?
A. "I plan to use an electric razor for shaving."
B. "I know I must avoid crowds."
C. "I will report any bruises for bleeding."
D. "I will keep all laboratory appointments." - ANSWER--B. "I
know I must avoid crowds."
, Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
A nurse is caring for a trauma victim with a significant blood loss.
Immediately following multiple blood transfusions, what is the
most accurate indicator for adequate oxygenation?
A. hematocrit
B. pulse oximetry
C. blood gases
D. hemoglobin - ANSWER--C. blood gases
A nurse should take the initial blood pressure of a client newly
diagnosed with hypertension by what process?
A. after exercising for two minutes
B. in both arms
C. while supine
D. in a standing and a sitting position - ANSWER--B. in both arms
A nurse is participating in a community health fair. As part of the
health promotion process, the nurse should conduct a mental
status examination when
A. Any health screening is done
B. There are obvious findings of depression
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
A client diagnosed with amyotrophic lateral sclerosis (ALS) is
scheduled for 160 mL of enteral feeding as a bolus every four
hours. Before flushing with water the nurse aspirates the gastric
feeding tube and gets back 180 mL of undigested feeding or
residual. What is the appropriate intervention guided by a health
care agency protocol?
A. reinsert the residual and then flush with sterile water
B. reinsert the residual and hold the next feeding
C. discard the residual and hold the next feeding
D. discard the residual and administer the feeding - ANSWER--B.
reinsert the residual and hold the next feeding
A client diagnosed with cystitis has been on oral antibiotics for 72
hours. Which report from the client requires further assessments
by a nurse?
A. "It burns when I go to the bathroom to pass my urine."
B. "My urine smells bad when I go to the bathroom."
C. "I have been sick at my stomach and don't feel like eating
much the past few days."
,Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
D. "I felt hot, took my temperature and it has been elevated for the
past 24 hours." - ANSWER--D. "I felt hot, took my temperature
and it has been elevated for the past 24 hours."
The nurse is using the image below to explain and clarify
information about the client's colostomy. Based on this image,
which of the following statements about the consistency of the
drainage is correct?
A. The feces are semiformed to formed
B. The feces have a normal, formed consistency
C. The feces are mushy (liquid to semiformed)
D. The feces are liquid to semiliquid and the discharge is often
irritating to the skin around the stoma - ANSWER--A. The feces
are semiformed to formed
A nurse administers cimetidine (Tagamet) to an older adult client
diagnosed with a gastric ulcer. Which function may be affected by
this medication, and should be closely monitored by the nurse?
A. mental status
B. blood pressure
,Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
C. liver function
D. red blood cells - ANSWER--A. mental status
A client receives high doses of a potassium bolus IV over a 30
minute period. Which focus is a priority to check prior to giving
this medication?
A. oral fluid intake
B. bowel sounds
C. grip strength
D. urine output - ANSWER--D. urine output
A client is discharged on warfarin sulfate (Coumadin). A nurse
recognizes that additional teaching is needed if the client makes
which incorrect comment?
A. "I plan to use an electric razor for shaving."
B. "I know I must avoid crowds."
C. "I will report any bruises for bleeding."
D. "I will keep all laboratory appointments." - ANSWER--B. "I
know I must avoid crowds."
, Kaplan NCLEX Readiness Exam Test Bank Newest
Includes 270+ Accurate And Verified Questions
Covering All Major NCLEX-RN And NCLEX-PN
Content Areas: Safe And Effective Care
Environment, Health Promotion And
Maintenance, Psychosocial Integrity 2025
A nurse is caring for a trauma victim with a significant blood loss.
Immediately following multiple blood transfusions, what is the
most accurate indicator for adequate oxygenation?
A. hematocrit
B. pulse oximetry
C. blood gases
D. hemoglobin - ANSWER--C. blood gases
A nurse should take the initial blood pressure of a client newly
diagnosed with hypertension by what process?
A. after exercising for two minutes
B. in both arms
C. while supine
D. in a standing and a sitting position - ANSWER--B. in both arms
A nurse is participating in a community health fair. As part of the
health promotion process, the nurse should conduct a mental
status examination when
A. Any health screening is done
B. There are obvious findings of depression
