NCLEX READINESS QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhatA2interventionA2isA2essentialA2priorA2toA2startingA2aA2clientA2onA2atorvastatinA2therapy
?
1.A2AssessingA2forA2muscleA2strength
2.A2AssessingA2theA2client'sA2dietaryA2intake
3.A2DeterminingA2ifA2theA2clientA2isA2onA2digoxinA2therapy
4.A2MonitoringA2liverA2functionA2testsA2-A2Ans--
A22.A2AssessingA2theA2client'sA2dietaryA2intake
TheA2nurseA2providesA2dischargeA2instructionsA2toA2aA2clientA2atA214A2weeksA2gestationA2
whoA2hasA2receivedA2aA2prophylacticA2cervicalA2cerclage.A2WhichA2clientA2statementA2indi
catesA2anA2understandingA2ofA2teaching?
1.A2"IA2needA2toA2beA2onA2bedA2restA2forA2theA2durationA2ofA2myA2pregnancy."
2.A2"IA2willA2notifyA2myA2healthA2careA2providerA2ifA2IA2startA2havingA2lowA2backA2aches."
3.A2"PelvicA2pressureA2isA2toA2beA2expectedA2afterA2cerclageA2placement."
4.A2"TheA2cerclageA2willA2beA2removedA2onceA2myA2babyA2isA2atA228A2weeks."A2-A2Ans--
A22.A2"IA2willA2notifyA2myA2healthA2careA2providerA2ifA2IA2startA2havingA2lowA2backA2aches."
DuringA2theA2firstA2prenatalA2assessment,A2theA2clientA2reportsA2theA2lastA2normalA2menstr
ualA2periodA2startingA2onA2MarchA21A2andA2endingA2onA2MarchA25,A2butA2alsoA2slightA2spott
ingA2onA2MarchA223.A2TheA2clientA2hadA2unprotectedA2intercourseA2onA2MarchA215.A2Using
A2Naegele'sA2rule,A2whatA2isA2theA2estimatedA2dateA2ofA2birth?
1.A2DecemberA28
2.A2DecemberA212
3.A2DecemberA222
4.A2DecemberA230A2-A2Ans--A21.A2DecemberA28
AA2femaleA2clientA2withA2liverA2cirrhosisA2andA2chronicA2anemiaA2isA2hospitalizedA2forA2aA2
deepA2venousA2thrombosis.A2The
clientA2isA2receivingA2aA2heparinA2infusionA2andA2suddenlyA2developsA2epistaxis.A2WhichA2
laboratoryA2valueA2wouldA2indicateA2thatA2theA2heparinA2infusionA2needsA2toA2beA2turnedA2
off?
1.A2HematocritA2ofA230%A2(0.30)
2.A2PartialA2thromboplastinA2timeA2ofA2110A2seconds
3.A2PlateletA2countA2ofA280,000/mm3A2(80A2xA2109/L)
4.A2ProthrombinA2timeA2ofA211A2secondsA2-A2Ans--
A22.A2PartialA2thromboplastinA2timeA2ofA2110A2seconds
AA2majorA2earthquakeA2hasA2occurred.A2LocalA2gasA2linesA2andA2waterA2pipesA2areA2brea
kingA2withA2resultingA2firesA2and
floodingA2inA2collapsedA2buildings.A2MultipleA2victimsA2arriveA2atA2theA2triageA2area.A2Whic
hA2clientA2shouldA2theA2nurseA2careA2forA2first?
1.A2ClientA2withA2charred,A2leatheryA2skinA2overA2entireA2back,A2chest,A2andA2legs
,2.A2ClientA2withA2coolA2skin,A2shiveringA2fromA2sittingA2inA2waterA2untilA2rescued
3.A2ClientA2withA2diabetesA2whoA2wasA2unableA2toA2takeA2prescribedA2insulinA2today
4.A2ClientA2withA2high-pitched,A2crowingA2inspiratoryA2respirationsA2-A2Ans--
A24.A2ClientA2withA2high-pitched,A2crowingA2inspiratoryA2respirations
TheA2nurseA2preparesA2toA2administerA2clozapineA2toA2aA2clientA2withA2schizophrenia.A2W
hichA2clientA2statementA2wouldA2requireA2priorityA2investigationA2beforeA2administeringA2th
eA2medication?
1.A2"IA2haveA2gainedA2aA2fewA2poundsA2sinceA2IA2startedA2thisA2medication."
2.A2"IA2haveA2hadA2aA2soreA2throatA2forA23A2daysA2andA2feelA2feverishA2today."
3.A2"IA2haveA2noticedA2increasedA2salivationA2andA2drooling."
4.A2"IA2oftenA2feelA2sleepyA2whenA2IA2takeA2thisA2medication."A2-A2Ans--
A22.A2"IA2haveA2hadA2aA2soreA2throatA2forA23A2daysA2andA2feelA2feverishA2today."
TheA2post-
anesthesiaA2careA2unitA2nurseA2receivesA2reportA2onA2aA2clientA2afterA2abdominalA2surger
y.A2WhatA2soundsA2wouldA2theA2nurseA2expectA2toA2hearA2whenA2auscultatingA2theA2bowel
?
1.A2AbsentA2bowelA2sounds
2.A2BorborygmiA2sounds
3.A2High-pitchedA2andA2gurglingA2sounds
4.A2SwishingA2orA2buzzingA2soundsA2-A2Ans--A21.A2AbsentA2bowelA2sounds
TheA2nurseA2isA2admittingA2aA2clientA2withA2aA2possibleA2diagnosisA2ofA2Guillain-
BarréA2syndrome.A2WhenA2collectingA2dataA2toA2developA2aA2planA2ofA2careA2forA2theA2clie
nt,A2theA2nurseA2shouldA2giveA2priorityA2toA2whichA2ofA2theA2followingA2items?
1.A2OrthostaticA2bloodA2pressureA2changes
2.A2PresenceA2orA2absenceA2ofA2kneeA2reflexes
3.A2PupilA2sizeA2andA2reactionA2toA2light
4.A2RateA2andA2depthA2ofA2respirationsA2-A2Ans--A24.A2RateA2andA2depthA2ofA2respirations
TheA2unlicensedA2assistiveA2personnelA2onA2theA2cardiacA2floorA2reportsA2toA2theA2register
edA2nurseA2thatA2duringA2theA2firstA2vitalA2signA2measurementA2onA2theA2shift,A2aA2client'sA2
bloodA2pressureA2measuredA2198/102A2mmA2HgA2onA2theA2automatedA2bloodA2pressureA2
machine.A2WhatA2actionA2shouldA2theA2nurseA2takeA2first?
1.A2HaveA2theA2unlicensedA2assistiveA2personnelA2recheckA2theA2client'sA2bloodA2pressure
2.A2ImmediatelyA2notifyA2theA2healthA2careA2provider
3.A2ObtainA2theA2client'sA2PRNA2labetalolA2fromA2theA2medicationA2dispensingA2machine
4.A2RecheckA2theA2client'sA2bloodA2pressureA2withA2aA2manualA2cuffA2-A2Ans--
A24.A2RecheckA2theA2client'sA2bloodA2pressureA2withA2aA2manualA2cuff
TheA2nurseA2isA2triagingA2clientsA2inA2theA2emergencyA2department.A2WhichA2clientA2need
sA2toA2beA2seenA2first?
1.A218-year-oldA2femaleA2withA2fever,A2suprapubicA2pain,A2andA2dysuria
2.A221-year-oldA2maleA2withA2diffuseA2abdominalA2painA2andA2aA2rigidA2abdomen
,3.A264-year-
oldA2maleA2withA2aA2pulsatileA2massA2inA2theA2periumbilicalA2areaA2andA2backA2pain
4.A275-year-oldA2withA2nausea,A2fever,A2andA2leftA2lowerA2quadrantA2painA2-A2Ans--
A23.A264-year-
oldA2maleA2withA2aA2pulsatileA2massA2inA2theA2periumbilicalA2areaA2andA2backA2pain
TheA2nurseA2workingA2onA2anA2orthopedicA2unitA2isA2receivingA2reportA2onA24A2clientsA2wit
hA2recentA2fractures.A2WhichA2clientA2shouldA2theA2nurseA2assessA2first?
1.A2ClientA2whoA2hasA2aA2femurA2fractureA2withA2aA2rashA2ofA2pin-
sizedA2redA2spotsA2onA2theA2chestA2andA2increasedA2restlessness
2.A2ClientA2whoA2hasA2purulentA2drainageA2oozingA2fromA2aA2skeletalA2tractionA2pinA2insert
ionA2siteA2andA2aA2temperatureA2ofA2100.8A2FA2(38.2A2C)
3.A2ClientA2withA2aA2hipA2fractureA2receivingA2continuousA2IVA2salineA2withA2bilateralA22+A2
pittingA2legA2edemaA2andA2aA2bloodA2pressureA2ofA2176/89A2mmA2Hg
4.A2ClientA2withA2aA2ribA2fractureA2whoA2isA2breathingA2atA2aA2rateA2ofA223/
minA2andA2isA2reportingA28/10A2painA2thatA2isA2worseA2withA2inspirationA2-A2Ans--
A21.A2ClientA2whoA2hasA2aA2femurA2fractureA2withA2aA2rashA2ofA2pin-
sizedA2redA2spotsA2onA2theA2chestA2andA2increasedA2restlessness
TheA2nurseA2plansA2dischargeA2teachingA2forA2aA2clientA2withA2activeA2herpesA2lesionsA2w
hoA2hasA2aA2newA2prescriptionA2forA2oralA2acyclovirA2andA2topicalA2lidocaine.A2WhatA2infor
mationA2willA2theA2nurseA2includeA2inA2theA2teachingA2plan?
1.A2AdhesiveA2bandagingA2shouldA2remainA2onA2theA2lesionsA2toA2preventA2virusA2sheddin
g
2.A2BloodA2testsA2willA2beA2drawnA2toA2ensureA2theA2virusA2isA2eradicated
3.A2CondomsA2shouldA2beA2usedA2duringA2intercourseA2untilA2theA2lesionsA2areA2healed
4.A2GlovesA2shouldA2beA2usedA2toA2applyA2theA2medicationA2toA2theA2lesionsA2-A2Ans--
A24.A2GlovesA2shouldA2beA2usedA2toA2applyA2theA2medicationA2toA2theA2lesions
TheA2nurseA2receivesA2anA2obeseA2clientA2inA2theA2postanesthesiaA2careA2unitA2whoA2und
erwentA2aA2procedureA2underA2generalA2anesthesia.A2TheA2nurseA2notesA2anA2oxygenA2sa
turationA2ofA288%.A2WhichA2isA2theA2mostA2appropriateA2initialA2intervention?
1.A2AssessA2pupillaryA2response
2.A2AuscultateA2lungA2sounds
3.A2InformA2anesthesiaA2professional
4.A2PerformA2headA2tiltA2andA2chinA2liftA2-A2Ans--A24.A2PerformA2headA2tiltA2andA2chinA2lift
AA2newlyA2reassignedA2nurseA2entersA2aA2hospitalA2roomA2atA2theA2beginningA2ofA2theA2sh
iftA2andA2findsA2theA2clientA2unconsciousA2andA2unresponsive.A2ResuscitationA2isA2initiate
dA2andA2thenA2continuedA2byA2theA2rapidA2responseA2team.A2TheA2nurse
realizesA2thatA2thereA2isA2aA2doA2notA2resuscitateA2(DNR)A2prescriptionA2postedA2inA2theA2c
lient'sA2chart.A2WhichA2actionA2isA2correct?
1.A2StopA2allA2resuscitationA2activityA2immediately
2.A2ContinueA2resuscitationA2untilA2DNRA2statusA2isA2verifiedA2withA2healthA2careA2provider
3.A2IfA2clientA2showsA2anyA2signsA2ofA2life,A2followA2advancedA2cardiovascularA2supportA2p
rotocolA2untilA2stable
, 4.A2OnceA2resuscitationA2hasA2begun,A2completeA2itA2regardlessA2ofA2clientA2codeA2statusA
2-A2Ans--A21.A2StopA2allA2resuscitationA2activityA2immediately
AA2clientA2recentlyA2diagnosedA2withA2aA2majorA2depressiveA2disorderA2reportsA2useA2ofA2
herbalA2supplements.A2ItA2isA2most
importantA2forA2theA2nurseA2toA2provideA2educationA2aboutA2whichA2supplementA2reported
A2byA2theA2client?
1.A2Echinacea
2.A2Garlic
3.A2Glucosamine
4.A2StA2John'sA2wortA2-A2Ans--A24.A2StA2John'sA2wort
AA2nurseA2isA2caringA2forA2aA2collegeA2athleteA2whoA2wasA2recentlyA2diagnosedA2withA2mo
derateA2persistentA2asthma.A2WhichA2commonA2asthmaA2triggerA2shouldA2theA2nurseA2tea
chA2thisA2clientA2toA2avoid?
1.A2Latex-containingA2products
2.A2PenicillinA2antibiotics
3.A2SecondhandA2cigaretteA2smoke
4.A2StrenuousA2physicalA2activityA2-A2Ans--A23.A2SecondhandA2cigaretteA2smoke
AA2clientA2withA2aA2diagnosisA2ofA2schizophreniaA2withA2catatoniaA2hasA2recentlyA2beenA2a
dmittedA2toA2theA2psychiatricA2unit.A2WhichA2ofA2theA2followingA2isA2theA2priorityA2nursingA2
diagnosis?
1.A2ImpairedA2socialA2interaction
2.A2ImpairedA2verbalA2communication
3.A2RiskA2forA2deficientA2fluidA2volume
4.A2RiskA2forA2impairedA2skinA2integrityA2-A2Ans--A23.A2RiskA2forA2deficientA2fluidA2volume
TheA2nurseA2isA2caringA2forA24A2clients.A2BasedA2onA2theA2assessmentA2data,A2whichA2clie
ntA2doesA2theA2nurseA2anticipateA2theA2healthA2careA2providerA2transferringA2toA2theA2inten
siveA2careA2unit?
1.A236-year-
oldA2withA2alcoholA2abuseA2whoA2isA2prescribedA2IVA2lorazepamA2everyA23A2hoursA2forA2ag
itationA2andA2hasA2aA2bloodA2pressureA2ofA2190/98A2mmA2HgA2andA2serumA2magnesiumA2l
evelA2ofA21.5A2mEq/LA2(0.75A2mmol/L)
2.A256-year-
oldA2withA2stableA2anginaA2whoA2hasA2chestA2andA2jawA2painA2relievedA2withA2nitroglycerin
,A2bloodA2pressureA2ofA298/70A2mmA2Hg,A2andA2dizzinessA2whenA2gettingA2up
3.A260-year-
oldA2withA2chronicA2kidneyA2diseaseA2whoA2hasA2aA2bloodA2pressureA2ofA2168/88A2mmA2H
g,A2serumA2creatinineA2levelA2ofA25.0A2mg/dLA2(442A2µmol/
L),A2andA2reportsA2nauseaA2andA2itching
4.A282-year-
oldA2withA2pressureA2injuryA2whoA2hasA2aA2changeA2inA2mentalA2status,A2temperatureA2ofA2
96.4A2FA2(35.8A2C),A2pulseA2ofA2110/min,A2andA2bloodA2pressureA2ofA296/72A2mmA2HgA2-
A2Ans--A24.A282-year-
CORRECT VERIFIED ANSWERS
WhatA2interventionA2isA2essentialA2priorA2toA2startingA2aA2clientA2onA2atorvastatinA2therapy
?
1.A2AssessingA2forA2muscleA2strength
2.A2AssessingA2theA2client'sA2dietaryA2intake
3.A2DeterminingA2ifA2theA2clientA2isA2onA2digoxinA2therapy
4.A2MonitoringA2liverA2functionA2testsA2-A2Ans--
A22.A2AssessingA2theA2client'sA2dietaryA2intake
TheA2nurseA2providesA2dischargeA2instructionsA2toA2aA2clientA2atA214A2weeksA2gestationA2
whoA2hasA2receivedA2aA2prophylacticA2cervicalA2cerclage.A2WhichA2clientA2statementA2indi
catesA2anA2understandingA2ofA2teaching?
1.A2"IA2needA2toA2beA2onA2bedA2restA2forA2theA2durationA2ofA2myA2pregnancy."
2.A2"IA2willA2notifyA2myA2healthA2careA2providerA2ifA2IA2startA2havingA2lowA2backA2aches."
3.A2"PelvicA2pressureA2isA2toA2beA2expectedA2afterA2cerclageA2placement."
4.A2"TheA2cerclageA2willA2beA2removedA2onceA2myA2babyA2isA2atA228A2weeks."A2-A2Ans--
A22.A2"IA2willA2notifyA2myA2healthA2careA2providerA2ifA2IA2startA2havingA2lowA2backA2aches."
DuringA2theA2firstA2prenatalA2assessment,A2theA2clientA2reportsA2theA2lastA2normalA2menstr
ualA2periodA2startingA2onA2MarchA21A2andA2endingA2onA2MarchA25,A2butA2alsoA2slightA2spott
ingA2onA2MarchA223.A2TheA2clientA2hadA2unprotectedA2intercourseA2onA2MarchA215.A2Using
A2Naegele'sA2rule,A2whatA2isA2theA2estimatedA2dateA2ofA2birth?
1.A2DecemberA28
2.A2DecemberA212
3.A2DecemberA222
4.A2DecemberA230A2-A2Ans--A21.A2DecemberA28
AA2femaleA2clientA2withA2liverA2cirrhosisA2andA2chronicA2anemiaA2isA2hospitalizedA2forA2aA2
deepA2venousA2thrombosis.A2The
clientA2isA2receivingA2aA2heparinA2infusionA2andA2suddenlyA2developsA2epistaxis.A2WhichA2
laboratoryA2valueA2wouldA2indicateA2thatA2theA2heparinA2infusionA2needsA2toA2beA2turnedA2
off?
1.A2HematocritA2ofA230%A2(0.30)
2.A2PartialA2thromboplastinA2timeA2ofA2110A2seconds
3.A2PlateletA2countA2ofA280,000/mm3A2(80A2xA2109/L)
4.A2ProthrombinA2timeA2ofA211A2secondsA2-A2Ans--
A22.A2PartialA2thromboplastinA2timeA2ofA2110A2seconds
AA2majorA2earthquakeA2hasA2occurred.A2LocalA2gasA2linesA2andA2waterA2pipesA2areA2brea
kingA2withA2resultingA2firesA2and
floodingA2inA2collapsedA2buildings.A2MultipleA2victimsA2arriveA2atA2theA2triageA2area.A2Whic
hA2clientA2shouldA2theA2nurseA2careA2forA2first?
1.A2ClientA2withA2charred,A2leatheryA2skinA2overA2entireA2back,A2chest,A2andA2legs
,2.A2ClientA2withA2coolA2skin,A2shiveringA2fromA2sittingA2inA2waterA2untilA2rescued
3.A2ClientA2withA2diabetesA2whoA2wasA2unableA2toA2takeA2prescribedA2insulinA2today
4.A2ClientA2withA2high-pitched,A2crowingA2inspiratoryA2respirationsA2-A2Ans--
A24.A2ClientA2withA2high-pitched,A2crowingA2inspiratoryA2respirations
TheA2nurseA2preparesA2toA2administerA2clozapineA2toA2aA2clientA2withA2schizophrenia.A2W
hichA2clientA2statementA2wouldA2requireA2priorityA2investigationA2beforeA2administeringA2th
eA2medication?
1.A2"IA2haveA2gainedA2aA2fewA2poundsA2sinceA2IA2startedA2thisA2medication."
2.A2"IA2haveA2hadA2aA2soreA2throatA2forA23A2daysA2andA2feelA2feverishA2today."
3.A2"IA2haveA2noticedA2increasedA2salivationA2andA2drooling."
4.A2"IA2oftenA2feelA2sleepyA2whenA2IA2takeA2thisA2medication."A2-A2Ans--
A22.A2"IA2haveA2hadA2aA2soreA2throatA2forA23A2daysA2andA2feelA2feverishA2today."
TheA2post-
anesthesiaA2careA2unitA2nurseA2receivesA2reportA2onA2aA2clientA2afterA2abdominalA2surger
y.A2WhatA2soundsA2wouldA2theA2nurseA2expectA2toA2hearA2whenA2auscultatingA2theA2bowel
?
1.A2AbsentA2bowelA2sounds
2.A2BorborygmiA2sounds
3.A2High-pitchedA2andA2gurglingA2sounds
4.A2SwishingA2orA2buzzingA2soundsA2-A2Ans--A21.A2AbsentA2bowelA2sounds
TheA2nurseA2isA2admittingA2aA2clientA2withA2aA2possibleA2diagnosisA2ofA2Guillain-
BarréA2syndrome.A2WhenA2collectingA2dataA2toA2developA2aA2planA2ofA2careA2forA2theA2clie
nt,A2theA2nurseA2shouldA2giveA2priorityA2toA2whichA2ofA2theA2followingA2items?
1.A2OrthostaticA2bloodA2pressureA2changes
2.A2PresenceA2orA2absenceA2ofA2kneeA2reflexes
3.A2PupilA2sizeA2andA2reactionA2toA2light
4.A2RateA2andA2depthA2ofA2respirationsA2-A2Ans--A24.A2RateA2andA2depthA2ofA2respirations
TheA2unlicensedA2assistiveA2personnelA2onA2theA2cardiacA2floorA2reportsA2toA2theA2register
edA2nurseA2thatA2duringA2theA2firstA2vitalA2signA2measurementA2onA2theA2shift,A2aA2client'sA2
bloodA2pressureA2measuredA2198/102A2mmA2HgA2onA2theA2automatedA2bloodA2pressureA2
machine.A2WhatA2actionA2shouldA2theA2nurseA2takeA2first?
1.A2HaveA2theA2unlicensedA2assistiveA2personnelA2recheckA2theA2client'sA2bloodA2pressure
2.A2ImmediatelyA2notifyA2theA2healthA2careA2provider
3.A2ObtainA2theA2client'sA2PRNA2labetalolA2fromA2theA2medicationA2dispensingA2machine
4.A2RecheckA2theA2client'sA2bloodA2pressureA2withA2aA2manualA2cuffA2-A2Ans--
A24.A2RecheckA2theA2client'sA2bloodA2pressureA2withA2aA2manualA2cuff
TheA2nurseA2isA2triagingA2clientsA2inA2theA2emergencyA2department.A2WhichA2clientA2need
sA2toA2beA2seenA2first?
1.A218-year-oldA2femaleA2withA2fever,A2suprapubicA2pain,A2andA2dysuria
2.A221-year-oldA2maleA2withA2diffuseA2abdominalA2painA2andA2aA2rigidA2abdomen
,3.A264-year-
oldA2maleA2withA2aA2pulsatileA2massA2inA2theA2periumbilicalA2areaA2andA2backA2pain
4.A275-year-oldA2withA2nausea,A2fever,A2andA2leftA2lowerA2quadrantA2painA2-A2Ans--
A23.A264-year-
oldA2maleA2withA2aA2pulsatileA2massA2inA2theA2periumbilicalA2areaA2andA2backA2pain
TheA2nurseA2workingA2onA2anA2orthopedicA2unitA2isA2receivingA2reportA2onA24A2clientsA2wit
hA2recentA2fractures.A2WhichA2clientA2shouldA2theA2nurseA2assessA2first?
1.A2ClientA2whoA2hasA2aA2femurA2fractureA2withA2aA2rashA2ofA2pin-
sizedA2redA2spotsA2onA2theA2chestA2andA2increasedA2restlessness
2.A2ClientA2whoA2hasA2purulentA2drainageA2oozingA2fromA2aA2skeletalA2tractionA2pinA2insert
ionA2siteA2andA2aA2temperatureA2ofA2100.8A2FA2(38.2A2C)
3.A2ClientA2withA2aA2hipA2fractureA2receivingA2continuousA2IVA2salineA2withA2bilateralA22+A2
pittingA2legA2edemaA2andA2aA2bloodA2pressureA2ofA2176/89A2mmA2Hg
4.A2ClientA2withA2aA2ribA2fractureA2whoA2isA2breathingA2atA2aA2rateA2ofA223/
minA2andA2isA2reportingA28/10A2painA2thatA2isA2worseA2withA2inspirationA2-A2Ans--
A21.A2ClientA2whoA2hasA2aA2femurA2fractureA2withA2aA2rashA2ofA2pin-
sizedA2redA2spotsA2onA2theA2chestA2andA2increasedA2restlessness
TheA2nurseA2plansA2dischargeA2teachingA2forA2aA2clientA2withA2activeA2herpesA2lesionsA2w
hoA2hasA2aA2newA2prescriptionA2forA2oralA2acyclovirA2andA2topicalA2lidocaine.A2WhatA2infor
mationA2willA2theA2nurseA2includeA2inA2theA2teachingA2plan?
1.A2AdhesiveA2bandagingA2shouldA2remainA2onA2theA2lesionsA2toA2preventA2virusA2sheddin
g
2.A2BloodA2testsA2willA2beA2drawnA2toA2ensureA2theA2virusA2isA2eradicated
3.A2CondomsA2shouldA2beA2usedA2duringA2intercourseA2untilA2theA2lesionsA2areA2healed
4.A2GlovesA2shouldA2beA2usedA2toA2applyA2theA2medicationA2toA2theA2lesionsA2-A2Ans--
A24.A2GlovesA2shouldA2beA2usedA2toA2applyA2theA2medicationA2toA2theA2lesions
TheA2nurseA2receivesA2anA2obeseA2clientA2inA2theA2postanesthesiaA2careA2unitA2whoA2und
erwentA2aA2procedureA2underA2generalA2anesthesia.A2TheA2nurseA2notesA2anA2oxygenA2sa
turationA2ofA288%.A2WhichA2isA2theA2mostA2appropriateA2initialA2intervention?
1.A2AssessA2pupillaryA2response
2.A2AuscultateA2lungA2sounds
3.A2InformA2anesthesiaA2professional
4.A2PerformA2headA2tiltA2andA2chinA2liftA2-A2Ans--A24.A2PerformA2headA2tiltA2andA2chinA2lift
AA2newlyA2reassignedA2nurseA2entersA2aA2hospitalA2roomA2atA2theA2beginningA2ofA2theA2sh
iftA2andA2findsA2theA2clientA2unconsciousA2andA2unresponsive.A2ResuscitationA2isA2initiate
dA2andA2thenA2continuedA2byA2theA2rapidA2responseA2team.A2TheA2nurse
realizesA2thatA2thereA2isA2aA2doA2notA2resuscitateA2(DNR)A2prescriptionA2postedA2inA2theA2c
lient'sA2chart.A2WhichA2actionA2isA2correct?
1.A2StopA2allA2resuscitationA2activityA2immediately
2.A2ContinueA2resuscitationA2untilA2DNRA2statusA2isA2verifiedA2withA2healthA2careA2provider
3.A2IfA2clientA2showsA2anyA2signsA2ofA2life,A2followA2advancedA2cardiovascularA2supportA2p
rotocolA2untilA2stable
, 4.A2OnceA2resuscitationA2hasA2begun,A2completeA2itA2regardlessA2ofA2clientA2codeA2statusA
2-A2Ans--A21.A2StopA2allA2resuscitationA2activityA2immediately
AA2clientA2recentlyA2diagnosedA2withA2aA2majorA2depressiveA2disorderA2reportsA2useA2ofA2
herbalA2supplements.A2ItA2isA2most
importantA2forA2theA2nurseA2toA2provideA2educationA2aboutA2whichA2supplementA2reported
A2byA2theA2client?
1.A2Echinacea
2.A2Garlic
3.A2Glucosamine
4.A2StA2John'sA2wortA2-A2Ans--A24.A2StA2John'sA2wort
AA2nurseA2isA2caringA2forA2aA2collegeA2athleteA2whoA2wasA2recentlyA2diagnosedA2withA2mo
derateA2persistentA2asthma.A2WhichA2commonA2asthmaA2triggerA2shouldA2theA2nurseA2tea
chA2thisA2clientA2toA2avoid?
1.A2Latex-containingA2products
2.A2PenicillinA2antibiotics
3.A2SecondhandA2cigaretteA2smoke
4.A2StrenuousA2physicalA2activityA2-A2Ans--A23.A2SecondhandA2cigaretteA2smoke
AA2clientA2withA2aA2diagnosisA2ofA2schizophreniaA2withA2catatoniaA2hasA2recentlyA2beenA2a
dmittedA2toA2theA2psychiatricA2unit.A2WhichA2ofA2theA2followingA2isA2theA2priorityA2nursingA2
diagnosis?
1.A2ImpairedA2socialA2interaction
2.A2ImpairedA2verbalA2communication
3.A2RiskA2forA2deficientA2fluidA2volume
4.A2RiskA2forA2impairedA2skinA2integrityA2-A2Ans--A23.A2RiskA2forA2deficientA2fluidA2volume
TheA2nurseA2isA2caringA2forA24A2clients.A2BasedA2onA2theA2assessmentA2data,A2whichA2clie
ntA2doesA2theA2nurseA2anticipateA2theA2healthA2careA2providerA2transferringA2toA2theA2inten
siveA2careA2unit?
1.A236-year-
oldA2withA2alcoholA2abuseA2whoA2isA2prescribedA2IVA2lorazepamA2everyA23A2hoursA2forA2ag
itationA2andA2hasA2aA2bloodA2pressureA2ofA2190/98A2mmA2HgA2andA2serumA2magnesiumA2l
evelA2ofA21.5A2mEq/LA2(0.75A2mmol/L)
2.A256-year-
oldA2withA2stableA2anginaA2whoA2hasA2chestA2andA2jawA2painA2relievedA2withA2nitroglycerin
,A2bloodA2pressureA2ofA298/70A2mmA2Hg,A2andA2dizzinessA2whenA2gettingA2up
3.A260-year-
oldA2withA2chronicA2kidneyA2diseaseA2whoA2hasA2aA2bloodA2pressureA2ofA2168/88A2mmA2H
g,A2serumA2creatinineA2levelA2ofA25.0A2mg/dLA2(442A2µmol/
L),A2andA2reportsA2nauseaA2andA2itching
4.A282-year-
oldA2withA2pressureA2injuryA2whoA2hasA2aA2changeA2inA2mentalA2status,A2temperatureA2ofA2
96.4A2FA2(35.8A2C),A2pulseA2ofA2110/min,A2andA2bloodA2pressureA2ofA296/72A2mmA2HgA2-
A2Ans--A24.A282-year-
