PREDICTOR VERIFIED ANSWERS
ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD STUDY
GUIDE NCLEX RN EXAM
PREPARATION GRADED A+
STUDENT SUCCESS REVIEW
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1. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?: bounding pulse
2. A nurse is discussing the z-track administration of hydroxyzine with a
newly licensed nurse. Which of the following statements indicates the
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newly licensed nurse understands the purpose of the technique: a. This
technique decreases the risk of subcutaneous infiltration
3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa.
Which of the following interventions should the nurse include in the
plan?: a. Monitor the client for 1 hr after meals
4. A nurse notices smoke coming from a client's room and discovers a fire
in the wastebasket. After moving the client to safety, which of the
followings is the priority action?: a. Close the fire door on the unit
5. A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?: a. Hallucinations
6. 1. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?: hy-
peremesis
7. 1. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. The nurse should evaluate which of the following
labora- tory tests to determine effective long-term management of blood
glucose levels?: A1C
8. 1. A nurse is caring for a client who has neutropenia due to HIV. Which of
the following precautions should the nurse take while caring for this
client?: a. Use a dedicated stethoscope
9. 1. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?: Tell the client to
avoid drinking fluids 1 hr before bedtime
10. 1. A nurse is planning care for a newborn who has hyperbilirubinemia
and is to receive phototherapy. Which of the following interventions
should the nurse include?: a. Place the newborn 45 cm from the light source
11. 1. A nurse is planning care for a client who has schizophrenia and is
having difficulty expressing their feelings. Which of the following referrals
should the nurse make?: social worker
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12. 1. A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the client
is experiencing an adverse effect of the medication: decreased reflexes
13. 1. At the start of an evening shift on a cardiac unit, a licensed practical
nurse brings the nurse a list of client reports. Which of the following client
reports should the nurse assess first?: indigestion
14. 1. A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the assistive
personnel requires the nurse to intervene?: offer oral fluids to the client
15. 1. A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first?: a. A 68 year
old client who had a myocardial infarction 2 days ago and reports chest pain as
a
4 on a scale of 0 to 10
16. 1. A nurse is assessing a client prior to performing a blood draw. The
nurse should identify that an allergy to which of the following food can
indicate that the client has an allergy to latex?: avocados
17. 1. A nurse is preparing to witness a client's signature on an informed
consent for a total knee arthroplasty. Which of the following client
statements indicates the nurse should contact the surgeon?: a. I am
thankful there are no serious complications from this type of surgery
18. 1. A nurse is admitting a client who has antisocial personality disorder.
Which of the following client behaviors should the nurse identify as
consis- tent with this disorder?: a. Uses others for personal gain
19. 1. A nurse is teaching the parent of a school-age child who has scabies
about the application of permethrin 5% cream. The nurse should include
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