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Kaplan Qbank Fundamentals & Medical-Surgical Nursing 1. A nurse is caring for a client with a stage 3 pressure ulcer. The wound is draining large amounts of thick, yellow-green fluid with a foul odor. Which of the following actions is most important for the nurse to include in the plan of care? A. Increase the client's protein intake. B. Obtain a wound culture specimen. C. Irrigate the wound with hydrogen peroxide. D. Apply a moisture-barrier ointment. B. Obtain a wound cult...

UWORLD NCLEX COMPREHENSIVE QBANK 1. A nurse is caring for a client at 39 weeks gestation who is receiving an IV oxytocin infusion for induction of labor. The nurse notes recurrent late decelerations on the fetal monitor. Which of the following actions should the nurse take? (Select all that apply.) 1. Administer an IV fluid bolus. 2. Reposition the client laterally. 3. Discontinue the IV oxytocin infusion. 4. Prepare the client for an amnioinfusion. 5. Apply abdominal vibroacou...

NCLEX Mastery Practice Exam Category: Safe and Effective Care Environment (Management of Care, Safety and Infection Control, Quality Improvement) 1. A nurse is assigned to care for four clients. Which client should the nurse assess first? a) A client with diabetes mellitus who has a blood glucose level of 95 mg/dL. b) A client post-operative day 2 who is reporting incisional pain rated 4/10. c) A client with heart failure who has new onset of confusion. d) A client with a urinary...

Question 1 A nurse is caring for a client who has just returned from the post-anesthesia care unit (PACU) following a partial gastrectomy. The client's nasogastric (NG) tube is draining a large amount of bright red blood. Which of the following should be the nurse's priority action? 1. Irrigate the NG tube with normal saline. 2. Assess the client's vital signs. 3. Notify the surgeon immediately. 4. Increase the rate of the IV infusion. Answer: 2 Rationale: The priori...

Instructions: Choose the best answer for each question. After submitting your answers, review the detailed rationales provided. Question 1 The nurse is caring for a group of clients on a medical-surgical unit. Which client should the nurse assess FIRST? 1. A 45-year-old with diabetes mellitus who has a blood glucose level of 95 mg/dL and is requesting breakfast. 2. A 60-year-old with pneumonia who has a pulse oximetry reading of 91% on room air. 3. A 70-year-old with heart failur...

Saunders-Style NCLEX-RN Review Examination Total Questions: 200 Time Allotted: 6 hours (Standard NCLEX timing) Distribution of Content:  Safe and Effective Care Environment (Management of Care & Safety/Infection Control): 40-45 Questions  Health Promotion and Maintenance: 20-25 Questions  Psychosocial Integrity: 20-25 Questions  Physiological Integrity (Basic Care, Pharmacology, Reduction of Risk, Physiological Adaptation): 100-110 Questions Safe and Effective Car...

Hurst Review NCLEX-PN & RN Practice Exam Section 1: Fundamentals & The Nursing Process 1. A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code" order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse states she was unaware of the "no code" order. What part of the nursing process did the nurse fail to perform? A. Planning B. Evaluation C. Assessment D. Implementation ...

Instructions for the test-taker: Select the best answer for each question. The correct answer, along with the rationale Lippincott NCLEX PassPoint Practice Exam Topic: Management of Care 1. A charge nurse is making patient assignments on a medical-surgical unit. Which patient should the charge nurse assign to the most experienced registered nurse (RN)? a) A 45-year-old with diabetes mellitus requiring a dressing change for a foot ulcer. b) A 60-year-old newly diagnosed with conges...

Patient Information Name: i-Human Case Week #4 Age: 56 years Sex: Female Height: 5’5” (165 cm) Weight: 188 lb (85.5 kg) BMI: 31.3 (Obese Class I) Chief Complaint: “I'm here to have my blood pressure rechecked.” S – Subjective History of Present Illness (HPI) 56-year-old female presents for a follow-up blood pressure evaluation after prev

SOAP Note Patient Information Name: i-Human Case Week #4 Age: 56 years Sex: Female Height: 5’5” (165 cm) Weight: 188 lb (85.5 kg) BMI: 31.3 (Obese Class I) Chief Complaint: “I'm here to have my blood pressure rechecked.” S – Subjective History of Present Illness (HPI) 56-year-old female presents for a follow-up blood pressure evaluation after previous elevated readings. She reports that during her last visit her blood pressure was high and the provider aske...