RN NCLEX||RNNCLEX EXAM practice
quiz/ANSWERS LATEST UPDATE
GRADED A+!!
The nurse provides a follow-up phone call to a client who gave birth at a
birthing center 5 days ago. Which statement by the client should the
nurse be most concerned about? (CORRECT ANSWERS) My bleeding
is like a really heavy period with some blood clots - postpartum
hemorrhage
A 2 month old infant has been admitted to the hospital with suspected
shaken baby syndrome (abusive head trauma). In reviewing the infant's
chart, the nurse expects to encounter which of these clinical findings?
(CORRECT ANSWERS) Irritability and vomiting - usually there are no
external signs of trauma except for occasional small bruises on the chest
or upper arms where the child was held during the shaking episode
Which client does the nurse assess first after receiving the morning
report?
- Client has cellulitis from injecting heroin; threatening to leave against
medical advice if more morphine is not given right now
- Client is 1 day postoperative colectomy; night nurse medicated client
with morphine 15 minutes ago
- Client is 2 days postoperative open gastric bypass surgery; now
reporting nausea and dry heaving
, - Client is 3 days postoperative total knee replacement; waiting to be
discharged (CORRECT ANSWERS) Client is 2 days postoperative open
gastric bypass surgery; now reporting nausea and dry heaving
A Spanish-speaking client is admitted for a small bowel obstruction. The
surgeon explains to the client's child, who speaks both Spanish and
English, than an exploratory laparotomy is needed to determine the
cause of the obstruction and possible causes include intestinal adhesions
and ovarian or colon cancer. The surgeon asks the child to translate this
information for the client and assist with translating the consent form.
Which is the most appropriate action by the nurse? (CORRECT
ANSWERS) Talk to the surgeon privately about using a trained Spanish-
language medical interpreter
A client on the locked unit of an inpatient psychiatric hospital says to a
nurse on the evening shift, "During the day they let me out to go to the
gift shop. You're my favorite nurse; I know you'll be a good sport and
give me a pass." What is the best response by the nurse? (CORRECT
ANSWERS) You do not have privileges for leaving the unit. I cannot
give you a pass.
The nurse is educating a client recently diagnosed with rheumatoid
arthritis about home care and symptom management. Which of the
following client statements indicates a need for further teaching?
(CORRECT ANSWERS) I should elevate my knees with pillows when
I'm sleeping. - client should sleep in a flat, neutral position
The nurse is providing education to a pregnant client diagnosed with
symptomatic hypothyroidism regarding levothyroxine therapy during
quiz/ANSWERS LATEST UPDATE
GRADED A+!!
The nurse provides a follow-up phone call to a client who gave birth at a
birthing center 5 days ago. Which statement by the client should the
nurse be most concerned about? (CORRECT ANSWERS) My bleeding
is like a really heavy period with some blood clots - postpartum
hemorrhage
A 2 month old infant has been admitted to the hospital with suspected
shaken baby syndrome (abusive head trauma). In reviewing the infant's
chart, the nurse expects to encounter which of these clinical findings?
(CORRECT ANSWERS) Irritability and vomiting - usually there are no
external signs of trauma except for occasional small bruises on the chest
or upper arms where the child was held during the shaking episode
Which client does the nurse assess first after receiving the morning
report?
- Client has cellulitis from injecting heroin; threatening to leave against
medical advice if more morphine is not given right now
- Client is 1 day postoperative colectomy; night nurse medicated client
with morphine 15 minutes ago
- Client is 2 days postoperative open gastric bypass surgery; now
reporting nausea and dry heaving
, - Client is 3 days postoperative total knee replacement; waiting to be
discharged (CORRECT ANSWERS) Client is 2 days postoperative open
gastric bypass surgery; now reporting nausea and dry heaving
A Spanish-speaking client is admitted for a small bowel obstruction. The
surgeon explains to the client's child, who speaks both Spanish and
English, than an exploratory laparotomy is needed to determine the
cause of the obstruction and possible causes include intestinal adhesions
and ovarian or colon cancer. The surgeon asks the child to translate this
information for the client and assist with translating the consent form.
Which is the most appropriate action by the nurse? (CORRECT
ANSWERS) Talk to the surgeon privately about using a trained Spanish-
language medical interpreter
A client on the locked unit of an inpatient psychiatric hospital says to a
nurse on the evening shift, "During the day they let me out to go to the
gift shop. You're my favorite nurse; I know you'll be a good sport and
give me a pass." What is the best response by the nurse? (CORRECT
ANSWERS) You do not have privileges for leaving the unit. I cannot
give you a pass.
The nurse is educating a client recently diagnosed with rheumatoid
arthritis about home care and symptom management. Which of the
following client statements indicates a need for further teaching?
(CORRECT ANSWERS) I should elevate my knees with pillows when
I'm sleeping. - client should sleep in a flat, neutral position
The nurse is providing education to a pregnant client diagnosed with
symptomatic hypothyroidism regarding levothyroxine therapy during
