Study guides, Class notes & Summaries

NCSBN TEST BANK - for the NCLEX- RN & NCLEX-PN, UPDATED EDITION, Complete 300 Questions & Answers with rationale 2023/2024 NCSBN TEST BANK - for the NCLEX- RN & NCLEX-PN, UPDATED EDITION, Complete 300 Questions & Answers with rationale 2023/2024 Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer i...

NCSBN NCLEX QUESTIONS WITH VERIFIED SOLUTIONS A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? The nurse assists with the reinforcement of information about breast self-examination to a group of college students. A female student asks when to perform the monthly exam. The appropriate reply by the nurse should include which statement? T...

Tetracycline - answers-Taken on empty stomach, not given to children < 8yo bcoz it can stain teeth, not known to cause hearing loss Propranolol - answers-Can help control essential tremors Potassium iodide - answers-Used preoperatively to reduce size & vascularity of thyroid gland Clozapine (Clozaril) - answers-Common s/e is extreme salivation (sialorrhea), may increase risk of hyperglycemia Serum albumin - answers-Most sensitive measure of nutritional status Normal: 3.4-5.4 g/dl...

The nurse has been made aware of the following client situations. The nurse should first assess the client: A) with diverticulitis who is reporting left lower quadrant (LLQ) pain B) with chronic obstructive pulmonary disease (COPD) who is reporting hemoptysis C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated D) who had a total knee replacement 8 hours ago and whose affected extremity is internally rotated - answers-C) who had an evacuation of a subdural hema...

A nurse is caring for a 69 year-old client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis? a. Irrigate with 5 mL of 0.9% normal saline b. Palpate for a thrill over the fistula c. Observe for edema proximal to the site d. Feel for a bruit over the fistula - answers-. Palpate for a thrill over the fistula The RN is working in a clinic where a client presents with a painful, blistering rash on the hip. The health care ...

The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the 1. first stage of labor who has an oral temperature of 99.7° F (37.6° C) 2. first stage of labor whose contractions are occurring every 30 seconds 3. second stage of labor who has respirations of 26 4. second stage of labor whose contractions are lasting for 60 seconds - answers-2. first stage of labor whose contractions are ...

A client is admitted with a diagnosis of myocardial infarction (MI) and reports having chest pain. The nurse provides care based on the knowledge that pain associated with an MI is related to which of the following findings? A. Insufficient oxygenation of the cardiac muscle B. Fluid volume excess C. Arrhythmia D. An electrolyte imbalance - answers-A Due to ischemia of the heart muscle, the client will experience pain. This happens because destroyed myocardial tissue can block or interfere...

The nurse is educating a client about how to use a metered-dose inhaler with spacer. Drag and drop the options below in the order that demonstrates correct use of a metered-dose inhaler with spacer. A. Remove the mouthpiece from the lips B. Breathe out slowly C. Breathe in deeply D. Hold breath for 10 seconds E. Release the medication into the spacer - answers-E, C, A, D, B Release the medication into the spacer. Breathe in deeply. Remove the mouthpiece, then hold breath for 10 seconds,...

The nurse is assisting with the admission of a client who is scheduled for a colon resection. Which of the following statements made by the client would be most important for the nurse to clarify? - answers-I usually have a few glasses of wine in the evening. Enoxaprin - answers-comes in a prefilled syringe from the manufacturer. To ensure complete medication delivery, the air bubble should not be expelled prior to unsection. The nurse is caring for a client who is scheduled to have an art...

Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher - answers-C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hypertension...

It is the start of the shift and the nurse has just finished listening to a report on four clients. Which client should the nurse assess first? A. A client with a diagnosis of an acute traumatic brain injury who has a blood pressure of 88/58 B. A client with a diagnosis of a concussion and who doesn't remember the motor vehicle accident C. A client diagnosed with viral meningitis and has signs of meningeal irritation D. A client diagnosed with generalized seizures who complains of a heada...

An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40 minutes. In mL/hour, what will be the setting for the IV delivery system? - answers-300 Using ratio proportion:First, convert 22 pounds to kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40 minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40 = 300 mL/hrUsing dimensional ana...