Saunders NCLEX-PN 8th Edition Exam
Questions & Answers (Grade A+)
Which of these clients are most likely to develop fluid (circulatory)
overload? Select all that apply. -
correct answer ✅* A premature infant
* A 101-year-old man
* A client with heart failure
* A client receiving renal dialysis
The nurse is assisting in performing an arterial blood gas (ABG)
analysis on a client. The nurse initially implements which
intervention after the blood gas is drawn to minimize the risk for
uncontrolled bleeding? -
correct answer ✅*Applying direct pressure to the site
A client who had abdominal surgery complains of feeling as though
"something gave way" in the incisional site. The nurse removes the
dressing and notes the presence of a loop of bowel protruding
through the incision. Which nursing interventions would the nurse
take? Select all that apply. -
correct answer ✅*Notify the registered nurse immediately
*Document the client's complaint with the exact times
*Prepare the client for the wound closure by notifying surgery
department
, Saunders NCLEX-PN 8th Edition Exam
Questions & Answers (Grade A+)
*Instruct the client to remain quiet and reassure the situation is
being taken care of
The nurse obtains the vital signs on a postoperative client who just
returned to the nursing unit. The client's blood pressure (BP) is
100/60 mm Hg, the pulse is 90 beats per minute, and the
respiration rate is 20 breaths per minute. On the basis of these
findings, which actions would the nurse take? Select all that apply. -
correct answer ✅*Ask how the client feels and inquire about any
feelings of dizziness
*Review the client record to determine time and type of analgesia
*Review the client record to note the vital signs taken in the PACU
The nurse is caring for a client following an abdominal surgery
performed 1 day ago. An intravenous (IV) line is infusing, and a
nasogastric (NG) tube is in place and attached to low intermittent
suction. The nurse monitors the client and notes that the bowel
sounds are absent. The nurse would perform which actions? Select
all that apply. -
correct answer ✅*Ask the client whether he has passed any
flatus.
*Document the finding and continue to check for bowel sounds.
Questions & Answers (Grade A+)
Which of these clients are most likely to develop fluid (circulatory)
overload? Select all that apply. -
correct answer ✅* A premature infant
* A 101-year-old man
* A client with heart failure
* A client receiving renal dialysis
The nurse is assisting in performing an arterial blood gas (ABG)
analysis on a client. The nurse initially implements which
intervention after the blood gas is drawn to minimize the risk for
uncontrolled bleeding? -
correct answer ✅*Applying direct pressure to the site
A client who had abdominal surgery complains of feeling as though
"something gave way" in the incisional site. The nurse removes the
dressing and notes the presence of a loop of bowel protruding
through the incision. Which nursing interventions would the nurse
take? Select all that apply. -
correct answer ✅*Notify the registered nurse immediately
*Document the client's complaint with the exact times
*Prepare the client for the wound closure by notifying surgery
department
, Saunders NCLEX-PN 8th Edition Exam
Questions & Answers (Grade A+)
*Instruct the client to remain quiet and reassure the situation is
being taken care of
The nurse obtains the vital signs on a postoperative client who just
returned to the nursing unit. The client's blood pressure (BP) is
100/60 mm Hg, the pulse is 90 beats per minute, and the
respiration rate is 20 breaths per minute. On the basis of these
findings, which actions would the nurse take? Select all that apply. -
correct answer ✅*Ask how the client feels and inquire about any
feelings of dizziness
*Review the client record to determine time and type of analgesia
*Review the client record to note the vital signs taken in the PACU
The nurse is caring for a client following an abdominal surgery
performed 1 day ago. An intravenous (IV) line is infusing, and a
nasogastric (NG) tube is in place and attached to low intermittent
suction. The nurse monitors the client and notes that the bowel
sounds are absent. The nurse would perform which actions? Select
all that apply. -
correct answer ✅*Ask the client whether he has passed any
flatus.
*Document the finding and continue to check for bowel sounds.
