NCLEX HURST REVIEW- RN READINESS EXAM 3- WITH 100% VERIFIED SOLUTIONS-

NCLEX HURST REVIEW- RN READINESS EXAM 3- WITH 100% VERIFIED SOLUTIONS- The nurse is teaching a group of pregnant women about hormonal changes during pregnancy. The nurse recognizes that teaching was successful when the women identify which hormone as causing amenorrhea? Progesterone The client is admitted to the hospital following a motor vehicle accident and has sustained a closed chest wound. The nurse notes paradoxical chest wall movement. Which problem does the nurse suspect? Flail chest Which client can a nurse manager safely transfer from the telemetry unit to the obstetrical unit in order to receive a new admit? Client diagnosed with seizure disorder The nurse is teaching a group of clients who have reduced peripheral circulation how to care for their feet. What points should the nurse include? Check shoes for rough spots in the lining, file toenails straight across, and break in new shoes gradually. When caring for young adult clients, which developmental tasks would the nurse expect to see? Developing meaningful and intimate relationships Giving and sharing with an individual without asking what will be given or shared in return. What symptoms does the nurse expect to see in a client with bulimia nervosa? Feelings of self-worth unduly influenced by weight. Recurrent episodes of binge eating. Recurrent inappropriate compensatory behavior to prevent weight gain. A client who has had a laparoscopic cholecystectomy develops pain in the left shoulder. Vital signs, laboratory studies, and an electrocardiogram are within normal limits. What does the nurse recognize as a contributing cause of the pain? Carbon dioxide used intraperitoneally is irritating the phrenic nerve. A client is admitted to the medical unit with an acute onset of fever, chills and RUQ pain. Vital signs are: T 99.8°F (37.7°C), P 132, RR 34, B/P 142/82. ABG results are: pH-7.53, PaCO2 30, HCO3 22. The nurse determines that this client is in what acid/base imbalance? Respiratory alkalosis. An unlicensed assistive personnel (UAP) has explained how to prevent the spread of infection to the charge nurse. Which statement by the UAP indicates that further teaching is needed? "When caring for a client who has a suppressed immune response, a N95 mask should be worn." The nurse is preparing to discharge a client who has been placed on tranylcypromine. The nurse teaches the client about food to avoid while taking this medication. What food choice by the client confirms appropriate understanding of the teaching? Salami. Which nurse is providing cost effective care to a client? Providing palliative care to a terminally ill client. Beginning discharge planning on admit. Counseling clients on cigarette smoking cessation. Educating a group of parents on the importance of childhood immunizations. A client is admitted for observation following an unrestrained motor vehicle accident. A bystander stated that the client lost consciousness for 1-2 minutes. On admission, the client reports a headache and had a Glasgow coma scale (GCS) of 14. The GCS is now 12. What is the priority nursing intervention for this client? Notify the primary healthcare provider. The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory medication (NSAID) for an acute flare-up of gout. Which finding is expected in the assessment? Dramatic decrease in pain after beginning medications. A home care nurse is preparing to perform venipuncture on a client to draw blood. As the nurse gathers supplies, the client begins to experience palpitations, trembling, nausea, shortness of breath and a feeling of losing control. How should the nurse communicate with this client? Use simple words. The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in removing excessive body hair? Removing the hair with clippers. Using a depilatory cream. A new mother calls the clinic and tells the nurse, "I don't have any help taking care of my 3 week old baby. I don't know what to do. I just feel like I can't take care of him anymore. I wish I never had him sometimes. Maybe then my husband would spend more time at "Come to the clinic now so that we can help you." The primary healthcare provider instructs the nurse to place body tissue obtained from a biopsy into a container with formalin prior to sending it to pathology. The nurse has not handled formalin before. What would be the nurse's best action? Read about formalin on the Material Safety Data Sheet (MSDS). The nurse is administering medication to an elderly client who has no visitors. The client takes the pills, and, as the client hands the medication cup back to the nurse, grabs onto the nurse's hand tightly. What is the most logical rationale for the client's action? Scared and lonely and grabs the nurse's hand for comfort. A nurse is caring for a 65 year-old client diagnosed with dehydration. The client has been receiving intravenous normal saline at 150 mL/hour for the past 4 hours. Which finding would the nurse need to notify the primary healthcare provider? Anxiety. The nurse reassesses the client's pain level after administering an oral analgesic. The client states that the pain is better but continues to report a backache. Which non-pharmacologic interventions may help the client's backache? Assisting the client into a side lying position. Providing a back massage. Providing heat therapy. Using distraction techniques. The nurse is caring for a client on the pediatric unit. The primary healthcare provider prescribes phenytoin 30 mg by mouth every 8 hours for a client weighting 18 kg. The recommended dosage is 5 mg/kg/day. What does the nurse determine is the safe dosage for the child in mg/day? Round your answer to the nearest whole number. 90 mg/day Which client diagnosis would require the nurse to initiate droplet precaution? Whooping cough Which finding would indicate to the nurse that a client is at nutritional risk and should receive a dietary consult? Six year old who had surgery 5 days ago, receiving clear liquid diet since surgery. A nurse observes a fire has started in the trash can of a client's room. What steps should the nurse take? Place steps in priority from first to last