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A comprehensive set of practice questions for the nclex-rn exam. it covers various nursing topics, including postpartum care, newborn feeding, osteoarthritis management, and more. the questions are designed to test knowledge and critical thinking skills essential for nursing practice. each question includes a correct answer, allowing for self-assessment and improved understanding of key concepts.
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A nurse is reinforcing teaching with a postpartum client. Which of the following should the nurse explain as the most important reason for staff to wear identification? - CORRECT Reducing the risk of newborn abduction A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? - CORRECT I will feed my baby six to eight times a day A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain,swelling, and stiffness. Which of the following client statements indicates understanding of the teaching? - CORRECT I will exercise my joints as much as i can when they are inflamed A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of the following instructions should the nurse
include in the teaching? - CORRECT Refrain from using deodorant on the morning of the test A nurse is preparing a clients insulin regimen. Which of the following insulin's can be mixed? - CORRECT Insulin aspart, regular insulin, insulin lispro A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions? - CORRECT I will take a stool softener to prevent constipation A nurse is caring for a client who had a stroke and is having difficulty swallowing. The nurse should recommend a referral to which of the following members of the interprofessional team? - CORRECT Speech therapist A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy. Which of the following instructions should the nurse include? - CORRECT Change the perineal pad with each void
A nurse in a urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? - CORRECT Muscle weakness A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference? - CORRECT A client who has hemiparesis and lives alone A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider? - CORRECT Depression A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching?
A nurse is caring for four clients. Which of the following clients statements should the nurse attend to first? - CORRECT My heartburn pain is going into my jaw now A nurse in a providers office is talking on the phone with the parent of a school-age child who has varicella. - CORRECT All vesicles have crusted over A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following statements should the nurse expect? - CORRECT I feel tired all the time A nurse is administering a cleansing enema to a client who reports mild cramping during instillation of the solution. Which of the following actions should the nurse take? - CORRECT Slow the rate of instillation A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following? - CORRECT A decreased level of consciousness and vomiting A nurse is setting up a sterile field prior to performing a dressing change. Which of the following actions should the nurse take? - CORRECT Open the outermost flap of the wrapper toward the body
A nurse is assisting with an admission interview for a client who has schizophrenia. He tells the nurse that he is receiving special audible messages from the Central Intelligence Agency that no one else is able to hear. The nurse should identify that the client is having which of the following alterations in perception? - CORRECT Hallucination A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which of the following statements should the nurse include? - CORRECT "Wash your newborn's head under a stream of running water." A nurse is caring for a client who has heart failure and reports difficulty limiting sodium in his diet. Which of the following recommendations should the nurse provide? - CORRECT Replace bottled salad dressing with homemade vinegar and oil dressing. A nurse is reinforcing teaching about nonpharmacological pain relief with a client who is 6 hr postpartum following a vaginal delivery. The client has an episiotomy and swelling of the labia. Which of the following instructions should the nurse include? - CORRECT Sit on soft pillows throughout the day.
A nurse is caring for a client who has a new colostomy. He voices a reluctance about resuming sexual relations. Which of the following is an appropriate response by the nurse? - CORRECT "I'm available if you'd like to talk about your concerns." A nurse is reinforcing discharge teaching about transmission precautions with a client who has hepatitis C. Which of the following information should the nurse include? - CORRECT Avoid sharing razors with other family members. A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates to the nurse a need for further teaching? - CORRECT "I will be sure to wear cotton socks." A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following interventions should the nurse recommend? - CORRECT Observe the client for 1 hr after meals. A nurse is assisting with the discharge planning for a client following a myocardial infarction. Which of the following is an appropriate referral for this client? - CORRECT Respiratory therapist for breathing exercises
transference? - CORRECT "I feel really close to you because you remind me of my ex-boyfriend." A nurse is caring for a client who has been placed in restraints. Which of the following is appropriate? - CORRECT Monitor the client's skin integrity on a regular schedule. A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following? - CORRECT States that he will treat hypoglycemic reactions with 15 g of carbohydrates A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take?
A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect? - CORRECT Hypercalcemia A nurse is collecting data from an 18-month-old toddler at a well- child visit. Which of the following findings should the nurse report to the provider? - CORRECT The toddler can say four words. A nurse delegates a task to an assistive personnel (AP) and the AP refuses the assigned task. Which of the following actions should the nurse take first? - CORRECT Perform the task. A nurse on a medical unit is observing an assistive personnel (AP) delivering food trays. Which of the following actions by the AP requires intervention? - CORRECT Providing a ham and cheese sandwich to a client who follows a kosher diet A nurse is reinforcing teaching with a client who has a vitamin C deficiency. Which of the following foods should the nurse include as having the highest vitamin C content? - CORRECT 1 cup raw broccoli A nurse is assisting with triaging clients in a mass casualty situation. The nurse should recommend that which of the following clients
A nurse is removing a female client's indwelling urinary catheter. Which of the following actions should the nurse take? - CORRECT Withdraw the fluid from the catheter's balloon. A nurse is collecting data from a parent of a preschooler at a well- child visit. Which of the following findings is a contraindication to a measles, mumps, and rubella (MMR) immunization? - CORRECT Longterm use of immunosuppressants A home health nurse is reinforcing teaching with a client about kitchen safety. Which of the following instructions should the nurse reinforce about using a fire extinguisher? - CORRECT Sweep the extinguisher from side to side to put out the fire. A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? - CORRECT "It is a light stroking of the skin during a uterine contraction." A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever. Which of the following responses should the nurse make? - CORRECT "You should follow the label directions based on your child's weight."
A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? - CORRECT Request that the provider write an asneeded prescription for restraints. A nurse is reinforcing teaching with an older adult client who has a new prescription for digoxin for heart failure. Which of the following effects should the nurse include as an expected outcome of this medication? - CORRECT Increased heart rate A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care? - CORRECT Give directions using simple phrases. A nurse is caring for a client in a provider's office. The client asks about the purpose of a living will. Which of the following is the appropriate response by the nurse? - CORRECT "It expresses your wishes regarding health care when you can no longer communicate." A nurse is planning to administer an ophthalmic medication to a client. Which of the following actions will minimize systemic
infusion pump was set incorrectly and the client received 200 mL more than prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not considered malpractice for which of the following reasons? - CORRECT The client was not harmed as a result of the incident. A nurse is escorting a client to his car following discharge from an acute mental health facility. The client states intentions to harm a friend when he leaves the facility. Which of the following actions should the nurse take? - CORRECT Prevent the client from leaving the facility. A nurse is caring for a client who is 5 days postoperative following abdominal surgery. The client tells the nurse that he was coughing and "felt a pop" at the incision site. The nurse examines the incision and finds wound dehiscence and evisceration. Which of the following actions should the nurse take? - CORRECT Place the client in a side-lying position. A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for cellulitis on the left arm. Which of the following techniques should the nurse use? - CORRECT Take the child on a tour of the surgery and recovery areas.
A nurse receives a verbal order for a client to receive a stat dose of meperidine 100 mg PO. She administers the medication, charts the administration, and then realizes she has administered phenytoin 100 mg PO. Which of the following actions should the nurse take first? - CORRECT Check the client's vital signs. A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%. Which of the following interventions should the nurse take first? - CORRECT Repeat the test on another finger. A nurse is preparing to administer 5 units of regular insulin and 20 units of NPH insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first? - CORRECT withdraw 5 units of regular insulin from the vial. A nurse is caring for a client who has urolithiasis. Which of the following actions should the nurse take? - CORRECT Strain the client's urine. A nurse is observing the mother of a 12-hr-old newborn. Which of the following actions by the mother requires intervention by the nurse? - CORRECT The mother places the newborn in prone position.
A nurse is preparing morning medications for a client who has a potassium level of 3.2 mEq/L. For which of the following medications should the nurse withhold administration and notify the provider? - CORRECT Furosemide A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For which of the following results should the nurse notify the provider? - CORRECT Ketones positive A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate? - CORRECT Place the client in a room that is ventilated to the outside. A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate? - CORRECT "You feel upset by the responses of others." A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy? - CORRECT Serum calcium 12.5 mg/dL
A nurse in the newborn nursery is planning to obtain blood from a newborn by a heel stick. Which of the following actions should the nurse plan to take? - CORRECT Apply a heat pack 5 to 10 min prior to the procedure. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the appropriate assignment for the nurse to accept?