NCLEX-PN
Abrupt, high-pitched snapping noise - ANSWER: heart murmur
is normal and represent the S1 (first heart sound) and S2 (second heart sound) - ANSWER: Lubb-dubb sounds
is described as a scratchy, leathery heart sound - ANSWER: pericardial friction rub
Vomiting will cause the loss of - ANSWER: hydrochloric acid and subsequent metabolic
_____ would occur in a child experiencing diarrhea because of the loss of bicarbonate. - ANSWER: Metabolic
acidosis
An ____ involves insertion of needle electrodes into selected skeletal muscles to evaluate changes & electrical
potential of the muscles & the nerves that lead to them. The test is useful in evaluating suspected lumbar or
cervical disk disease, myasthenia gravis, muscular dystrophy, and other musculoskeletal diseases. The needle
will not electrocute him or her, & will experience sensations comparable to an injection as the needles are
inserted. An informed consent is required, & no other special preparation is required for this test. - ANSWER:
electromyogram
The nurse is preparing a client for surgery. Which would be a component of the plan of care? - ANSWER:
Review the results of the preoperative laboratory studies.
one of the most common skin infections among kids, usually produces blisters or sores on the face, neck,
hands, and diaper area. This contagious superficial skin infection is generally caused by one of two bacteria:
Staphylococcus aureus or Streptococcus pyogenes - ANSWER: impetigo
a RN in a charge position is reinforcinbg goals to the health care team. which of these itmes best decribes the
goals of continous quality improvement (CQI) in a health care setting? - ANSWER: improve the quality of care
in a proactive manner.
the clienbt who recently expericned a stroke has an order to amublate with assistanc. which statement by the
nurse provides the best instructions to the UAP to assist the client to ambulate? - ANSWER: "have the client
lift & move the walker out at arms length then wlak into the walker." the nurse should give clear & concise
inof to the UAP about what is expected to safely conmplete any task, which is why the optionn about using the
, walker is correct. the person assisting the client to ambulate should walk on the client's weak side. UAP cannot
assess or eval a client; only nurses can peform the steps of the nursing process. if a client gets dizzy, the UAP
should assist the client to sit.
the practical nurse (PN) is reassigned to work on an acute care unit. which of these clients would be most
appropriate for this PN to accept? - ANSWER: an older adult client Dx w/ cystitis who has an indwelling
urethral catheter
=PNs who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most stable & the
outcomes for care are failry predictable. the other clients have more complex problems, as well as a higher
risk for instability. PNs should not accept an assignment that is beyond their knowledge or skills
which nursing practice best reduces the chance of communication errors that might otherwise lead to
negative client outcomes? - ANSWER: use standardized forms for client handoffs.
the clients states to the nurse: "I am ready to stop all of these Tx. I just want to go home & enjoy my family for
the little bit of time I have left." which action is most appropriate? - ANSWER: encourage the cleint to discuss
this decision w/ the health care provider & family.
=the cleint has the right to stop Tx & should be supported in clearly communicating this decision w/ the HCP &
family. the nurse needs to act as an advocate for the client.
the nurse, who is caring for a wclient w/ complex & unique health needs, describes the nautre of the illness in
an online social forum for nurses. neither the cleint's real name nor any other personal identifiers are used.
what, if any, consequence could result from posting this info online? - ANSWER: the nurse could be fired for
breach of confidentiality.
a 90yr. old is readmitted to the hospital, less than 2wks after being DC, for the same health concern. what
factors contirbute to hospital readmissions among older adults? (select all that apply) - ANSWER: =poor
communication among providers
=client health status
=family preferences
two members of the interdisciplinary team are arguing about the plan of care for a client. which action culd
any one of the members of the team use as a de-escalation strategy? - ANSWER: bring the communication
focus back to the client
Abrupt, high-pitched snapping noise - ANSWER: heart murmur
is normal and represent the S1 (first heart sound) and S2 (second heart sound) - ANSWER: Lubb-dubb sounds
is described as a scratchy, leathery heart sound - ANSWER: pericardial friction rub
Vomiting will cause the loss of - ANSWER: hydrochloric acid and subsequent metabolic
_____ would occur in a child experiencing diarrhea because of the loss of bicarbonate. - ANSWER: Metabolic
acidosis
An ____ involves insertion of needle electrodes into selected skeletal muscles to evaluate changes & electrical
potential of the muscles & the nerves that lead to them. The test is useful in evaluating suspected lumbar or
cervical disk disease, myasthenia gravis, muscular dystrophy, and other musculoskeletal diseases. The needle
will not electrocute him or her, & will experience sensations comparable to an injection as the needles are
inserted. An informed consent is required, & no other special preparation is required for this test. - ANSWER:
electromyogram
The nurse is preparing a client for surgery. Which would be a component of the plan of care? - ANSWER:
Review the results of the preoperative laboratory studies.
one of the most common skin infections among kids, usually produces blisters or sores on the face, neck,
hands, and diaper area. This contagious superficial skin infection is generally caused by one of two bacteria:
Staphylococcus aureus or Streptococcus pyogenes - ANSWER: impetigo
a RN in a charge position is reinforcinbg goals to the health care team. which of these itmes best decribes the
goals of continous quality improvement (CQI) in a health care setting? - ANSWER: improve the quality of care
in a proactive manner.
the clienbt who recently expericned a stroke has an order to amublate with assistanc. which statement by the
nurse provides the best instructions to the UAP to assist the client to ambulate? - ANSWER: "have the client
lift & move the walker out at arms length then wlak into the walker." the nurse should give clear & concise
inof to the UAP about what is expected to safely conmplete any task, which is why the optionn about using the
, walker is correct. the person assisting the client to ambulate should walk on the client's weak side. UAP cannot
assess or eval a client; only nurses can peform the steps of the nursing process. if a client gets dizzy, the UAP
should assist the client to sit.
the practical nurse (PN) is reassigned to work on an acute care unit. which of these clients would be most
appropriate for this PN to accept? - ANSWER: an older adult client Dx w/ cystitis who has an indwelling
urethral catheter
=PNs who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most stable & the
outcomes for care are failry predictable. the other clients have more complex problems, as well as a higher
risk for instability. PNs should not accept an assignment that is beyond their knowledge or skills
which nursing practice best reduces the chance of communication errors that might otherwise lead to
negative client outcomes? - ANSWER: use standardized forms for client handoffs.
the clients states to the nurse: "I am ready to stop all of these Tx. I just want to go home & enjoy my family for
the little bit of time I have left." which action is most appropriate? - ANSWER: encourage the cleint to discuss
this decision w/ the health care provider & family.
=the cleint has the right to stop Tx & should be supported in clearly communicating this decision w/ the HCP &
family. the nurse needs to act as an advocate for the client.
the nurse, who is caring for a wclient w/ complex & unique health needs, describes the nautre of the illness in
an online social forum for nurses. neither the cleint's real name nor any other personal identifiers are used.
what, if any, consequence could result from posting this info online? - ANSWER: the nurse could be fired for
breach of confidentiality.
a 90yr. old is readmitted to the hospital, less than 2wks after being DC, for the same health concern. what
factors contirbute to hospital readmissions among older adults? (select all that apply) - ANSWER: =poor
communication among providers
=client health status
=family preferences
two members of the interdisciplinary team are arguing about the plan of care for a client. which action culd
any one of the members of the team use as a de-escalation strategy? - ANSWER: bring the communication
focus back to the client
