NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
After listening to the parent’s reports and seeing the following pediatric
clients, the nurse knows that which client demonstrates signs of abuse
that may necessitate mandatory reporting?
1-year-old with dyspnea, drooling, and a swollen tongue after
eating part of a houseplant 2-year-old who is crying and has a large
forehead hematoma after falling out of a chair
3-year-old with second degree burns on the face after pulling a cup of hot
tea off the table
5-year-old whose x-ray reveals 1 new and 2 healed humerus fractures after
falling from a tree
The nurse on an inpatient mental health unit is caring for a client with
paranoid delusions who is refusing to eat. The client states that all the
food and drinks have been poisoned. Which intervention by the nurse is
appropriate?
Contact the client’s family and ask them to bring prepared
food from home Inform the client that tube feedings will be
initiated if the client refuses to eat Offer to taste the client’s
food and drinks while the client observes
Provide the client food in unopened single-serving packages
The nurse is teaching about constipation prevention to a client. Which
of the following client statements indicate appropriate understanding
of the teaching?
“Drinking more caffeinated drinks such as tea and soda helps to stimulate
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
,NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
the bowel.”
“Having a routine for bowel movements is important, but I should not wait
if I feel the urge.”
“I can use an over-the-counter laxative every other day if needed.”
“I should try to eat more fruits and vegetables every day.”
“Increasing my daily exercise level may help keep my bowel movements
regular.”
The nurse receives handoff of care report on four clients. Which client
should the nurse assess first?
Client who had an emergency appendectomy 48 hours ago and is reporting
hearing waves and seeing fish swimming through the walls.
Client who had an exploratory laparoscopy 2 hours ago and has absent
bowel sounds and is reporting nausea.
Client with diabetes mellitus who has a foot ulcer and is reporting feeling
pins and needles in the lower legs.
Client with Parkinson disease who has tremors while resting and
developed black-colored urine after taking carbidopa/levodopa.
A client with sickle cell crisis reports severe generalized pain. Which
intervention is a priority for correcting vasoocclusion?
Administering high flow
IV fluids. Applying oxygen
via nasal cannula
Maintaining strict bed
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
,NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
rest Transfusing packed
red blood cells
The charge nurse assists a student nurse preparing to apply knee-length
compression stockings onto a client with chronic venous insufficiency.
Which actions by the student nurse would cause the charge nurse to
intervene? Select all that apply.
Instructs client that stockings will be worn
only at night. Measures circumference of
both calves at the widest point. Rolls down
any excess length at the top of the stocking.
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
, NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
Selects a size larger to avoid friction against a leg laceration.
Smoothes out any wrinkles or creases in the stocking
The nurse is caring for a client who has been pronounced brain dead.
The client is a registered organ donor. The client’s family is voicing
concerns about the possibility of disfigurement because they want to
have an open casket funeral. How should the nurse respond?
“If the family is not in complete agreement about organ donation, we
won’t be able to proceed.” “Once the body is dressed, there is no
evidence of organ removal. An open casket will be fine.” “Some organ
procurement leaves evidence on the body. You may ant to consider a
closed casket.”
“Your family member consented to be an organ donor. You should really
honor this wish.”
A client with a history of a seizure disorder has a seizure while sitting in
a chair. Which nursing interventions are appropriate during the seizure
activity? Select all that apply.
Administer oxygen as needed if client becomes
cyanotic. Insert a flexible nasopharyngeal
airway for airway protection. Move the client
from the chair to the floor to prevent a fall.
Record the duration of the seizure activity for
documentation. Restrain the client’s arms and
legs to prevent injury.
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
After listening to the parent’s reports and seeing the following pediatric
clients, the nurse knows that which client demonstrates signs of abuse
that may necessitate mandatory reporting?
1-year-old with dyspnea, drooling, and a swollen tongue after
eating part of a houseplant 2-year-old who is crying and has a large
forehead hematoma after falling out of a chair
3-year-old with second degree burns on the face after pulling a cup of hot
tea off the table
5-year-old whose x-ray reveals 1 new and 2 healed humerus fractures after
falling from a tree
The nurse on an inpatient mental health unit is caring for a client with
paranoid delusions who is refusing to eat. The client states that all the
food and drinks have been poisoned. Which intervention by the nurse is
appropriate?
Contact the client’s family and ask them to bring prepared
food from home Inform the client that tube feedings will be
initiated if the client refuses to eat Offer to taste the client’s
food and drinks while the client observes
Provide the client food in unopened single-serving packages
The nurse is teaching about constipation prevention to a client. Which
of the following client statements indicate appropriate understanding
of the teaching?
“Drinking more caffeinated drinks such as tea and soda helps to stimulate
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
,NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
the bowel.”
“Having a routine for bowel movements is important, but I should not wait
if I feel the urge.”
“I can use an over-the-counter laxative every other day if needed.”
“I should try to eat more fruits and vegetables every day.”
“Increasing my daily exercise level may help keep my bowel movements
regular.”
The nurse receives handoff of care report on four clients. Which client
should the nurse assess first?
Client who had an emergency appendectomy 48 hours ago and is reporting
hearing waves and seeing fish swimming through the walls.
Client who had an exploratory laparoscopy 2 hours ago and has absent
bowel sounds and is reporting nausea.
Client with diabetes mellitus who has a foot ulcer and is reporting feeling
pins and needles in the lower legs.
Client with Parkinson disease who has tremors while resting and
developed black-colored urine after taking carbidopa/levodopa.
A client with sickle cell crisis reports severe generalized pain. Which
intervention is a priority for correcting vasoocclusion?
Administering high flow
IV fluids. Applying oxygen
via nasal cannula
Maintaining strict bed
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
,NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
rest Transfusing packed
red blood cells
The charge nurse assists a student nurse preparing to apply knee-length
compression stockings onto a client with chronic venous insufficiency.
Which actions by the student nurse would cause the charge nurse to
intervene? Select all that apply.
Instructs client that stockings will be worn
only at night. Measures circumference of
both calves at the widest point. Rolls down
any excess length at the top of the stocking.
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
, NUR 250NCLEX test 1 Uworld.(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
Selects a size larger to avoid friction against a leg laceration.
Smoothes out any wrinkles or creases in the stocking
The nurse is caring for a client who has been pronounced brain dead.
The client is a registered organ donor. The client’s family is voicing
concerns about the possibility of disfigurement because they want to
have an open casket funeral. How should the nurse respond?
“If the family is not in complete agreement about organ donation, we
won’t be able to proceed.” “Once the body is dressed, there is no
evidence of organ removal. An open casket will be fine.” “Some organ
procurement leaves evidence on the body. You may ant to consider a
closed casket.”
“Your family member consented to be an organ donor. You should really
honor this wish.”
A client with a history of a seizure disorder has a seizure while sitting in
a chair. Which nursing interventions are appropriate during the seizure
activity? Select all that apply.
Administer oxygen as needed if client becomes
cyanotic. Insert a flexible nasopharyngeal
airway for airway protection. Move the client
from the chair to the floor to prevent a fall.
Record the duration of the seizure activity for
documentation. Restrain the client’s arms and
legs to prevent injury.
NUR 250NCLEX test 1 Uworld(88 Q & As) BEST
NCLEX EXAM SOLUTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
