RN NCLEX Sample test 1 NGN with 100% correct answers 2024

R= a disaster alarm has been declared at the hospital and many clients are expected. The nurse provides care for clients on the maternal-child unit. Which client on this unit is considered for discharge within the next hour? SATA correct answers- a multipara client who delivered over an intact perineium 12 hours ago (stable rn and can have a home visit follow up) - a 3 day old breast feeding client with a total serum bilirubin of 12 (photo therapy is considered for a client with a total serum bilirubin between 13-15 @ 72 hours of age. the bilirubin levels peak between 3-5 days of age. pt can have bilirubin levels drawn at 5 days of age in the outpatient lab) -a 2 year old client delivered by a mother recieving intrapartum antibiotic therapy for GBS. (stable) *** patient recieving antibiotics after 24 hours need to stay because we dont know if it was effective - epigastric pain indicates a pending eclampsia and os unstable. R: The nurse recieves change- of-shift report. Which client does the nurse see first? correct answersA CLIENT 10 HOURS POSTOP AFTER A RIGHT MASTECTOMY AND REPORTING WET SHEETS UNDER THE BACK *** feelings of wet sheets may indicate HEMORRHAGE from the operative site and need to be investigated immediately. the client is unstable and need to be investigated for potential bleeding. - I chose " a client diag with COPD with a PAO2 of 70" but this level of oxygenation is considered "normal to good" for COPD patients. R: Akathisia is evidenced by... correct answers- extrapyramidal symptoms seen in facial grimaces, nervous- looking hand gestures, and restless legs both during night and day. - akathisia can happen in the first couple of week after taking antipschotic med R: the nurse provides care for a client receiving chlordiazepoxide. It is most important for the nurse to reinforce which expected finding to the client? correct answersDROWSINESS AND CONFUSION *** chloridaizepoxide is an anti-anxiety and sedative/hypnotic mediation used to treat anxiety and alcohol withdrawal. This medication causes drowsiness and sedation. It is important for this client to use caution when driving or operating equipment