Green NCLEX Comprehensive Exam B
The nurse looks up the chart of a cousin who is not under the care of the nurse. the manager is
notified by the computer tech dept that one of the nurses on the unit accessed a chart of a
client not on the unit. what is the manager's next action
reach out to HR
a client is receiving PTU prior to thyroid surgery. which diagnostic test results indicate that the
med is producing the desired effect
decreased Te and T4 levels
the nurse is planning care at the beginning of the shift. which client will the nurse see first
the client with a new onset of a temp of 102 F
a client with type 2 DM has a plantar foot ulcer. when developing a teaching plan regarding foot
care, what information should the nurse obtain frist from the client
watch the client complete a foot exam
,which monitored pattern of FHR alerts the nurse to seek immediate action by the HCP
a baseline FHR from 168-170bpm with a decline in the HR after the onset of a contraction
a client admitted to a med-surg inpatient unit complains to the nurse about feeling hot. the
client asks, "Can I have my spouse bring in my favorite fan from home?" what is the nurse's best
response
all electrical appliances must be cleared by the hospital's physical plant
a client is admitted to the hospital with a dx of hypokalemia. which clinical manifestation will
the nurse report to the HCP
heart palpitations
the clinic nurse is performing an intake interview of a mother of the 5 year old client. the
mother reports a fever of 103-104 F for 3 days, muscle pain, fatigue and a new break out of red,
flat rash along the child's hairline. what is the next nursing action
review the child's chart for IZ
when caring for an 80 year old client wiht PNA, which finding is of most concern to the nurse
,decreased LOC
a client exhibits symptoms of alcohol intoxication. the BAL is 200mg (0.2%). which measurement
tool is best for the nurse to use during the initial assessment of this client
glasgow coma scale
the nurse is providing care to a client who has a newly rx'd clopidogrel. which black box warning
will the nurse review prior to administering the med
this drug could cause heart attack or stroke when taken by clients with certain genetic
conditions
A primipara presents to the perinatal unit describing rupture of the membranes (ROM), which
occurred 12 hours prior to coming to the hospital. An oxytocin (Pitocin) infusion is begun, and 8
hours later the client's contractions are irregular and mild. What vital sign should the nurse
monitor with greater frequency than the typical unit protocol?
maternal temp
the nurse is preparing for the admission of a client who had surgically placed radiation. what
will the nurse include in the client's plan of care SATA
A) place the client in a private room
, b) place a no visitors sign on the client's door
c) place a linen hamper in the clien'ts room
d) place a lead-lined container in the client's room
e) offer only soft foods while in the hospital
a, c, d
a nurse implements an education progran to reduce hospital readmissions for clients with HF.
which statement by the client indicates that further teaching is needed SATA
a) I will not take my digoxin if my HR is >100bpm
b) I should weigh myself once a week and report increases
c) it is important to increase my fluid intake whenever possible
d) I should report an increase of swelling in my feet or ankle
e) I will call my HCP if I have diarrhea for more than one day
a, b, c
the nurse teaches a class on bioterrorism. which method of transmission are possible with the
biologic agent Bacillus anthracis (Anthrax) SATA
a) inhalation of powder form
b) handling of infected animals
c) spread from person to person through coughing
The nurse looks up the chart of a cousin who is not under the care of the nurse. the manager is
notified by the computer tech dept that one of the nurses on the unit accessed a chart of a
client not on the unit. what is the manager's next action
reach out to HR
a client is receiving PTU prior to thyroid surgery. which diagnostic test results indicate that the
med is producing the desired effect
decreased Te and T4 levels
the nurse is planning care at the beginning of the shift. which client will the nurse see first
the client with a new onset of a temp of 102 F
a client with type 2 DM has a plantar foot ulcer. when developing a teaching plan regarding foot
care, what information should the nurse obtain frist from the client
watch the client complete a foot exam
,which monitored pattern of FHR alerts the nurse to seek immediate action by the HCP
a baseline FHR from 168-170bpm with a decline in the HR after the onset of a contraction
a client admitted to a med-surg inpatient unit complains to the nurse about feeling hot. the
client asks, "Can I have my spouse bring in my favorite fan from home?" what is the nurse's best
response
all electrical appliances must be cleared by the hospital's physical plant
a client is admitted to the hospital with a dx of hypokalemia. which clinical manifestation will
the nurse report to the HCP
heart palpitations
the clinic nurse is performing an intake interview of a mother of the 5 year old client. the
mother reports a fever of 103-104 F for 3 days, muscle pain, fatigue and a new break out of red,
flat rash along the child's hairline. what is the next nursing action
review the child's chart for IZ
when caring for an 80 year old client wiht PNA, which finding is of most concern to the nurse
,decreased LOC
a client exhibits symptoms of alcohol intoxication. the BAL is 200mg (0.2%). which measurement
tool is best for the nurse to use during the initial assessment of this client
glasgow coma scale
the nurse is providing care to a client who has a newly rx'd clopidogrel. which black box warning
will the nurse review prior to administering the med
this drug could cause heart attack or stroke when taken by clients with certain genetic
conditions
A primipara presents to the perinatal unit describing rupture of the membranes (ROM), which
occurred 12 hours prior to coming to the hospital. An oxytocin (Pitocin) infusion is begun, and 8
hours later the client's contractions are irregular and mild. What vital sign should the nurse
monitor with greater frequency than the typical unit protocol?
maternal temp
the nurse is preparing for the admission of a client who had surgically placed radiation. what
will the nurse include in the client's plan of care SATA
A) place the client in a private room
, b) place a no visitors sign on the client's door
c) place a linen hamper in the clien'ts room
d) place a lead-lined container in the client's room
e) offer only soft foods while in the hospital
a, c, d
a nurse implements an education progran to reduce hospital readmissions for clients with HF.
which statement by the client indicates that further teaching is needed SATA
a) I will not take my digoxin if my HR is >100bpm
b) I should weigh myself once a week and report increases
c) it is important to increase my fluid intake whenever possible
d) I should report an increase of swelling in my feet or ankle
e) I will call my HCP if I have diarrhea for more than one day
a, b, c
the nurse teaches a class on bioterrorism. which method of transmission are possible with the
biologic agent Bacillus anthracis (Anthrax) SATA
a) inhalation of powder form
b) handling of infected animals
c) spread from person to person through coughing
