NCLEX RN||NCLEX RN EXAM
QUESTION/ANSWERS WELL
DEFINED (LATEST UPDATE)
2024/2025 GRADED A+!!
Th nurse initiates sterile wound care on a client's newly debrided foot
ulcer. After removing the dressing and beginning a betadine cleanse, the
client mentions an allergy to iodine not previously reported. Place the
nursing actions in order of priority. (CORRECT ANSWERS) 1. Ask
client about the type of "allergic response."
2. Remove betadine solution from found with normal saline
3. Cover wound with temporary sterile dressing
4. Observe client for signs or symptoms of reaction
5. Notify primary care physician.
The nurse is examining a client in the emergency department who is
suspected of having acute cholecystitis. What data obtained by the nurse
would help to validate this problem? (CORRECT ANSWERS) -
Abdominal guarding
- Anorexia
- Positive murphy's sign
- Steady epigastric pain
, A client has arrived at the emergency room reporting tingling to both
lower legs over the past 24 hours. The only significant health history is a
cold for the past week. During the nursing assessment, the client
indicates that both thighs are feeling numb. What priority action should
the nurse initiate immediately. (CORRECT ANSWERS) Prepare for
intubation.
- Symptoms indicate the onset of Guillian-Barre syndrome - an acute
inflammatory disease that may occur following a respiratory illness and
is characterized by progressive, ascending paralysis.
For a client with a major burn, which evaluation criterion identified by
the nurse best indicates that fluid resuscitation has been effective during
the first 24 hours of care? (CORRECT ANSWERS) Urine output of 860
mL/24 hours
A nurse is planning a teaching session for a group of clients diagnosed
with irritable bowel syndrome. What points should the nurse include to
help the clients control symptom flare-ups? (CORRECT ANSWERS) -
If you are constipated, try to make sure you have breakfast
- If you think a certain food is the problem, try cutting it out of your diet
for about 12 weeks.
- Drinks containing caffeine are more likely to contribute to symptoms.
The nurse recognizes which manifestations as signs of community-
acquired pneumonia? (CORRECT ANSWERS) - Cough
- Fever
QUESTION/ANSWERS WELL
DEFINED (LATEST UPDATE)
2024/2025 GRADED A+!!
Th nurse initiates sterile wound care on a client's newly debrided foot
ulcer. After removing the dressing and beginning a betadine cleanse, the
client mentions an allergy to iodine not previously reported. Place the
nursing actions in order of priority. (CORRECT ANSWERS) 1. Ask
client about the type of "allergic response."
2. Remove betadine solution from found with normal saline
3. Cover wound with temporary sterile dressing
4. Observe client for signs or symptoms of reaction
5. Notify primary care physician.
The nurse is examining a client in the emergency department who is
suspected of having acute cholecystitis. What data obtained by the nurse
would help to validate this problem? (CORRECT ANSWERS) -
Abdominal guarding
- Anorexia
- Positive murphy's sign
- Steady epigastric pain
, A client has arrived at the emergency room reporting tingling to both
lower legs over the past 24 hours. The only significant health history is a
cold for the past week. During the nursing assessment, the client
indicates that both thighs are feeling numb. What priority action should
the nurse initiate immediately. (CORRECT ANSWERS) Prepare for
intubation.
- Symptoms indicate the onset of Guillian-Barre syndrome - an acute
inflammatory disease that may occur following a respiratory illness and
is characterized by progressive, ascending paralysis.
For a client with a major burn, which evaluation criterion identified by
the nurse best indicates that fluid resuscitation has been effective during
the first 24 hours of care? (CORRECT ANSWERS) Urine output of 860
mL/24 hours
A nurse is planning a teaching session for a group of clients diagnosed
with irritable bowel syndrome. What points should the nurse include to
help the clients control symptom flare-ups? (CORRECT ANSWERS) -
If you are constipated, try to make sure you have breakfast
- If you think a certain food is the problem, try cutting it out of your diet
for about 12 weeks.
- Drinks containing caffeine are more likely to contribute to symptoms.
The nurse recognizes which manifestations as signs of community-
acquired pneumonia? (CORRECT ANSWERS) - Cough
- Fever
