8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
Science Medicine Nursing
NCLEX Review Study Guide (Summer 2022)
8 studiers in 3 days Leave the first rating
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5
5 terms 79 terms Teacher222 terms 114 s
term
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w w w chae
Practice questions for this set
Learn 1/7 Study with Learn
Offer the client frequent oral hygiene care.
Choose matching term
The nurse is irrigating a client's colostomy. The client has abdominal cramping after receiving about
100 mL of the irrigating solution. What should the nurse do first?
1 a. Stop the flow of solution.
b. Reposition the client on the right side.
c. Remove the irrigation tube.
d. Massage the abdomen gently.
The nurse realizes being an hour and 30 minutes late in administering a dose of medication for a
4- year-old child. The nurse gives the medication immediately and assesses the child. The child
isn't
harmed by the delay. Which action should the nurse take next?
a.
2 No further action is necessary.
b. Notify the physician of the error.
c. Follow facility procedures for reporting an error.
d. Document a medication error in the client's chart.
A client who is on nothing-by-mouth status is constantly asking for a drink. Which nursing
intervention is the most appropriate?
3 a. Re-explain to the client why she cannot drink.
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 1/33
flash-cards/
,8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
Offer ice chips every hour to decrease thirst.
Offer the client frequent oral hygiene care.
Divert the client's attention by turning on the television.
A child who is 18 months of age is brought to the emergency department by her babysitter. The babysitter
states, "She fell from the sofa an hour ago and hasn't been herself since." On questioning, the babysitter appears
to be unsure of time and other facts about the incident. Which question would
be most effective in obtaining more information about the child's injuries?
4
"Why did you leave the child alone on the couch?"
"Have you taken a course in safe babysitting?"
"Tell me what was happening before she fell."
"Where are her parents? Do they know this happened?"
Don't
know?
Terms in this set (145)
A child with 20% second and third degree Client is confused
burns is admitted to the burn center. The Heart rate is elevated
child weighs 44lbs (20 kg). The nurse has Blood pressure is dropping
started an IV infusion of lactated ringer
solution and inserted an indwelling
catheter. Which of the findings indicate that
the child is going into shock?
(Select all that apply)
a.Urinary output is 25ml/hr
b.Client is confused
c. Pain is 7 on a pain scale 1-10
d. Heart rate is elevated
e. Blood pressure is dropping
A 17 year old high school senior calls the "We can see you without your parents consent, but have to report any positive results
clinic because she thinks she might have to the public health department"
gonorrhea. She wants to be seen but wants
assurances that no one will know. Which is
the most appropriate response by the
nurse?
a."Because you are underage, you will
need your parent's consent to treat you"
b. "We can treat you without your
parent's consent, but they have the right
to review your medical record"
c. "We can see you without your
parents consent, but have to report any
positive results to the public health
department"
d. "We can see you, treat any infection,
and will not share your results with
anyone"
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 2/33
flash-cards/
,8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
The parents of a child with sickle cell one chance in four for each pregnancy
anemia ask about the chances of sickle
cell disease occurring in future children.
The nurse responds based on knowledge
that both
parents are carriers. What is the risk of one
of their children having the disease?
a.one chance in five for each pregnancy
b. one chance in four for each pregnancy
c. one chance in three for each pregnancy
d. one chance in two for each pregnancy
The nurse assesses a client's risk for breast Early onset of menstruation
cancer. Which finding would be considered
a risk factor?
a. Menopause before age 40
b. Early onset of menstruation
c. Having more than 2 children
d. Breastfeeding longer than 2 years.
The nurse determines that a client's Cover the wound with sterile saline-moistened dressing
abdominal wound has eviscerated. What
should the nurse do first?
a.Notify the healthcare provider
b. Reinsert the protruding viscera into
the abdominal cavity.
c. Place the client in reverse
Trendelenburg's position
d. Cover the wound with sterile saline-
moistened dressing
An older adult is admitted to the hospital Start an IV infusion
with sudden onset of severe pain in the
back, flank, and abdomen. The client reports
feeling weak; the blood pressure is 68/31
mm hg. There has been no urine output.
Bilateral leg pulses are weak, although bruit
and pulsation are noted at the umbilicus.
What action should the nurse take first?
a.Obtain consent for emergency surgery
b.Assess leg pulses with a Doppler test
c. Palpate the abdomen for presence of a
mass
d. Start an IV infusion.
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 3/33
flash-cards/
, 8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
A preterm infant born 2 hours ago at 34 Insertion of a chest tube into the neonate
weeks' gestation is experiencing rapid
respirations, grunting, no breathe sounds on
one side, and shift in location of heart
sounds. The nurse should prepare to
assist with which procedure?
a.Placement of the neonate on a ventilator
b.Administration of bronchodilators through
the nares
c. Suctioning of the neonate's nares with wall
suction
d. Insertion of a chest tube into the neonate
The nurse is evaluating a client who is using a inhales for 3 second following fully expanding the lungs
flow incentive spirometer following coughs after suing the spirometer
abdominal surgery 1 day ago. The client is exhales passively before using the spirometer again
performing the procedure correctly when sits upright
the client does what?
Select all that apply
a.inhales before using the spirometer
b. inhales for 3 second following
fully expanding the lungs
c. coughs after suing the spirometer
d. uses the spirometer once every 8 hours
e. exhales passively before using
the spirometer again
f. sits upright
A client receiving chemotherapy for D5W 45% NS with KCl 40 mEq/L at 125 mL/h
metastatic colon cancer is admitted to the
hospital because of prolonged vomiting.
Assessment findings include irregular pulse
of 120 bpm, blood pressure 88/48 mm Hg,
respiratory rate of 14 breathes/min, serum
potassium of 2.9 mEq/L (2.9 mmol/L) and
arterial blood gas -pH 7.46, PCO2 45 mm
Hg (6.0 kPA), P)2 95 mm HG (12.6 kPa),
bicarbonate level 29 mEq/L (29 mmol/L) The
nurse should implement which prescription
first?
a.oxygen at 4L per nasal cannula
b. repeat laboratory work in 4 hours
c. D5W 45% NS with KCl 40 mEq/L at
125 mL/h
d. 12 lead ECG
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 4/33
flash-cards/
AM Quizlet
Science Medicine Nursing
NCLEX Review Study Guide (Summer 2022)
8 studiers in 3 days Leave the first rating
Students also viewed
C oni
t
5
5 terms 79 terms Teacher222 terms 114 s
term
Previe Previe Previe
w w w chae
Practice questions for this set
Learn 1/7 Study with Learn
Offer the client frequent oral hygiene care.
Choose matching term
The nurse is irrigating a client's colostomy. The client has abdominal cramping after receiving about
100 mL of the irrigating solution. What should the nurse do first?
1 a. Stop the flow of solution.
b. Reposition the client on the right side.
c. Remove the irrigation tube.
d. Massage the abdomen gently.
The nurse realizes being an hour and 30 minutes late in administering a dose of medication for a
4- year-old child. The nurse gives the medication immediately and assesses the child. The child
isn't
harmed by the delay. Which action should the nurse take next?
a.
2 No further action is necessary.
b. Notify the physician of the error.
c. Follow facility procedures for reporting an error.
d. Document a medication error in the client's chart.
A client who is on nothing-by-mouth status is constantly asking for a drink. Which nursing
intervention is the most appropriate?
3 a. Re-explain to the client why she cannot drink.
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 1/33
flash-cards/
,8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
Offer ice chips every hour to decrease thirst.
Offer the client frequent oral hygiene care.
Divert the client's attention by turning on the television.
A child who is 18 months of age is brought to the emergency department by her babysitter. The babysitter
states, "She fell from the sofa an hour ago and hasn't been herself since." On questioning, the babysitter appears
to be unsure of time and other facts about the incident. Which question would
be most effective in obtaining more information about the child's injuries?
4
"Why did you leave the child alone on the couch?"
"Have you taken a course in safe babysitting?"
"Tell me what was happening before she fell."
"Where are her parents? Do they know this happened?"
Don't
know?
Terms in this set (145)
A child with 20% second and third degree Client is confused
burns is admitted to the burn center. The Heart rate is elevated
child weighs 44lbs (20 kg). The nurse has Blood pressure is dropping
started an IV infusion of lactated ringer
solution and inserted an indwelling
catheter. Which of the findings indicate that
the child is going into shock?
(Select all that apply)
a.Urinary output is 25ml/hr
b.Client is confused
c. Pain is 7 on a pain scale 1-10
d. Heart rate is elevated
e. Blood pressure is dropping
A 17 year old high school senior calls the "We can see you without your parents consent, but have to report any positive results
clinic because she thinks she might have to the public health department"
gonorrhea. She wants to be seen but wants
assurances that no one will know. Which is
the most appropriate response by the
nurse?
a."Because you are underage, you will
need your parent's consent to treat you"
b. "We can treat you without your
parent's consent, but they have the right
to review your medical record"
c. "We can see you without your
parents consent, but have to report any
positive results to the public health
department"
d. "We can see you, treat any infection,
and will not share your results with
anyone"
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 2/33
flash-cards/
,8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
The parents of a child with sickle cell one chance in four for each pregnancy
anemia ask about the chances of sickle
cell disease occurring in future children.
The nurse responds based on knowledge
that both
parents are carriers. What is the risk of one
of their children having the disease?
a.one chance in five for each pregnancy
b. one chance in four for each pregnancy
c. one chance in three for each pregnancy
d. one chance in two for each pregnancy
The nurse assesses a client's risk for breast Early onset of menstruation
cancer. Which finding would be considered
a risk factor?
a. Menopause before age 40
b. Early onset of menstruation
c. Having more than 2 children
d. Breastfeeding longer than 2 years.
The nurse determines that a client's Cover the wound with sterile saline-moistened dressing
abdominal wound has eviscerated. What
should the nurse do first?
a.Notify the healthcare provider
b. Reinsert the protruding viscera into
the abdominal cavity.
c. Place the client in reverse
Trendelenburg's position
d. Cover the wound with sterile saline-
moistened dressing
An older adult is admitted to the hospital Start an IV infusion
with sudden onset of severe pain in the
back, flank, and abdomen. The client reports
feeling weak; the blood pressure is 68/31
mm hg. There has been no urine output.
Bilateral leg pulses are weak, although bruit
and pulsation are noted at the umbilicus.
What action should the nurse take first?
a.Obtain consent for emergency surgery
b.Assess leg pulses with a Doppler test
c. Palpate the abdomen for presence of a
mass
d. Start an IV infusion.
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 3/33
flash-cards/
, 8/24/24, 8:36 NCLEX Review Study Guide (Summer 2022) Flashcards |
AM Quizlet
A preterm infant born 2 hours ago at 34 Insertion of a chest tube into the neonate
weeks' gestation is experiencing rapid
respirations, grunting, no breathe sounds on
one side, and shift in location of heart
sounds. The nurse should prepare to
assist with which procedure?
a.Placement of the neonate on a ventilator
b.Administration of bronchodilators through
the nares
c. Suctioning of the neonate's nares with wall
suction
d. Insertion of a chest tube into the neonate
The nurse is evaluating a client who is using a inhales for 3 second following fully expanding the lungs
flow incentive spirometer following coughs after suing the spirometer
abdominal surgery 1 day ago. The client is exhales passively before using the spirometer again
performing the procedure correctly when sits upright
the client does what?
Select all that apply
a.inhales before using the spirometer
b. inhales for 3 second following
fully expanding the lungs
c. coughs after suing the spirometer
d. uses the spirometer once every 8 hours
e. exhales passively before using
the spirometer again
f. sits upright
A client receiving chemotherapy for D5W 45% NS with KCl 40 mEq/L at 125 mL/h
metastatic colon cancer is admitted to the
hospital because of prolonged vomiting.
Assessment findings include irregular pulse
of 120 bpm, blood pressure 88/48 mm Hg,
respiratory rate of 14 breathes/min, serum
potassium of 2.9 mEq/L (2.9 mmol/L) and
arterial blood gas -pH 7.46, PCO2 45 mm
Hg (6.0 kPA), P)2 95 mm HG (12.6 kPa),
bicarbonate level 29 mEq/L (29 mmol/L) The
nurse should implement which prescription
first?
a.oxygen at 4L per nasal cannula
b. repeat laboratory work in 4 hours
c. D5W 45% NS with KCl 40 mEq/L at
125 mL/h
d. 12 lead ECG
https://quizlet.com/722730257/nclex-review-study-guide-summer-2022- 4/33
flash-cards/
