SAUNDERS_COMPREHENSIVE_REVIEW_FOR_NCLEX_FIVE_.doc.pdf
4143 TO 5142
1) A child with an autism spectrum disorder (ASD) is being
admitted to the hospital for diagnostic tests. Which room
assignment is the most approp
...
SAUNDERS_COMPREHENSIVE_REVIEW_FOR_NCLEX_FIVE_.doc.pdf
4143 TO 5142
1) A child with an autism spectrum disorder (ASD) is being
admitted to the hospital for diagnostic tests. Which room
assignment is the most appropriate for the child?
Private room
2) The labor and delivery room nurse has just received reports
on 4 clients. After reviewing the client data, the nurse
should assess which client first?
A client who has just received an intravenous
loading dose of magnesium sulfate to stop preterm
labor
3) The nurse has developed a teaching plan for a client with
hypertension regarding the administration of prescribed
medications. What is the initial nursing action?
Assess the client's readiness to learn.
4) A client with cancer is receiving intravenous morphine
sulfate for pain. When writing the plan of care for this
client, the nurse should include which action as the
priority action?
Monitor respiratory status.
5) The nurse is preparing to suction the airway of a client who
has a tracheostomy tube and gathers the supplies needed for
the procedure. In order of priority, which actions should
the nurse take to perform this procedure? Arrange the
actions in the order that they should be performed. All
options must be used.
1) Place the client in a semi Fowler's
position.
2) Turn on the suction device and set the
regulator at 80 mm Hg.
3) Attach the suction tubing to the suction
catheter.
4) Hyperoxygenate the client.
5) Insert the catheter into the tracheostomy
until resistance is met, and then pull it back 1
c
FROM 4143 TO 5142
1) A child with an autism spectrum disorder (ASD) is being
admitted to the hospital for diagnostic tests. Which room
assignment is the most appropriate for the child?
Private room
2) The labor and delivery room nurse has just received reports
on 4 clients. After reviewing the client data, the nurse
should assess which client first?
A client who has just received an intravenous
loading dose of magnesium sulfate to stop preterm
labor
3) The nurse has developed a teaching plan for a client with
hypertension regarding the administration of prescribed
medications. What is the initial nursing action?
Assess the client's readiness to learn.
4) A client with cancer is receiving intravenous morphine
sulfate for pain. When writing the plan of care for this
client, the nurse should include which action as the
priority action?
Monitor respiratory status.
5) The nurse is preparing to suction the airway of a client who
has a tracheostomy tube and gathers the supplies needed for
the procedure. In order of priority, which actions should
the nurse take to perform this procedure? Arrange the
actions in the order that they should be performed. All
options must be used.
1) Place the client in a semi Fowler's
position.
2) Turn on the suction device and set the
regulator at 80 mm Hg.
3) Attach the suction tubing to the suction
catheter.
4) Hyperoxygenate the client.
5) Insert the catheter into the tracheostomy
until resistance is met, and then pull it back 1
c
ROM 4143 TO 5142
1) A child with an autism spectrum disorder (ASD) is being
admitted to the hospital for diagnostic tests. Which room
assignment is the most appropriate for the child?
Private room
2) The labor and delivery room nurse has just received reports
on 4 clients. After reviewing the client data, the nurse
should assess which client first?
A client who has just received an intravenous
loading dose of magnesium sulfate to stop preterm
labor
3) The nurse has developed a teaching plan for a client with
hypertension regarding the administration of prescribed
medications. What is the initial nursing action?
Assess the client's readiness to learn.
4) A client with cancer is receiving intravenous morphine
sulfate for pain. When writing the plan of care for this
client, the nurse should include which action as the
priority action?
Monitor respiratory status.
5) The nurse is preparing to suction the airway of a client who
has a tracheostomy tube and gathers the supplies needed for
the procedure. In order of priority, which actions should
the nurse take to perform this procedure? Arrange the
actions in the order that they should be performed. All
options must be used.
1) Place the client in a semi Fowler's
position.
2) Turn on the suction device and set the
regulator at 80 mm Hg.
3) Attach the suction tubing to the suction
catheter.
4) Hyperoxygenate the client.
5) Insert the catheter into the tracheostomy
until resistance is met, and then pull it back 1
c
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