Kaplan NCLEX Study Guide Comprehensive Review Questions and Answers

Kaplan NCLEX Study Guide Comprehensive Review Questions and Answers A man had a permanent pacemaker implanted one year ago. He returns to the outpatient clinic because he thinks the pacemaker battery is malfunctioning ...

Kaplan NCLEX Study Guide Comprehensive Review Questions and Answers A man had a permanent pacemaker implanted one year ago. He returns to the outpatient clinic because he thinks the pacemaker battery is malfunctioning. It is MOST important for the nurse to assess which of the following? 1. Abdominal pain, nausea, and vomiting 2. Wheezing on exertion, cyanosis, and orthopnea 3. Peripheral edema, shortness of breath, and dizziness 4. Chest pain radiating to the right arm, headache, and diaphoresis 3. Peripheral edema, shortness of breath, and dizziness A woman with type 1 diabetes is returned to the recovery room one hour after an uneventful delivery of a 9lb., 8oz., baby boy. The nurse would expect the woman's blood sugar to do which of the following? 1. Change from 220 to 180 mg/dL 2. Change from 110 to 80 mg/dL 3. Change from 90 to 120 mg/dL 4. Change from 100 to 140 mg/dL 2. Change from 110 to 80 mg/dL 00:0201:27 Which of the following assignments by the RN would be appropriate for an LPN/LVN? 1. A 34-year old woman with low back pain scheduled for a myelogram in the afternoon 2. A 41-year old woman in traction with a fractured femur 3. A 43-year old woman in newly diagnosed with type 1 diabetes mellitus 4. A 56-year old male with emphysema scheduled to be discharged later today 2. A 41-year old woman in traction with a fractured femur After receiving a report from the night nurse, which of the following clients should the nurse see FIRST? 1. A 31 year-old woman refusing sucralfate before breakfast 2. A 40 year-old man with left-sided weakness asking for assistance to the commode 3. A 52-year-old woman reporting chills who is scheduled for a cholecystectomy 4. A 65-year-old man with a nasogastric tube who had a bowel resection yesterday 3. A 52-year-old woman reporting chills who is scheduled for a cholecystectomy The physician orders tobramycin sulfate 3mg/kg IV every 8 hours for a 3-year-old boy. The nurse enters the client's room to administer the medication and discovers that the boy does not have an identification bracelet. Which of the following should the nurse do? 1. Ask the parents at the child's bedside to state their child's name 2. Ask the child to say his first name and last name 3. Have a coworker identify the child before giving the medication. 4. Hold the medication until an identification bracelet can be obtained 1. Ask the parents at the child's bedside to state their child's name A 21-year-old woman in active labor is admitted to the labor suite. An hour later, the membranes rupture spontaneously. The nurse observes a glistening white cord protruding from the vagina. Which of the following actions should the nurse take FIRST? 1. Return to the nurses' station and place an emergency call to the physician 2. Administer oxygen by mask at 10-12 L/min and assess the mother's vital signs 3. Place a clean towel over the cord and wet it with sterile normal saline 4. Apply manual pressure to the presenting part and have the mother assume a knee-chest position 4. Apply manual pressure to the presenting part and have the mother assume a knee-chest position A 50-year-old male client comes to the nurses' station and asks the nurse if he can go to the cafeteria to get something to eat. When told that his privileges do not include visiting the cafeteria, the client becomes verbally abusive. Which of the following approaches by the nurse would be MOST effective? 1. Tell the client to lower his voice, because he is disturbing the other clients 2. Ask the client what he wants from the cafeteria and have it delivered to his room 3. Calmly but firmly escort the client back to his room 4. Assign the nursing assistive personnel (NAP) to accompany the client to the cafeteria. 3. Calmly but firmly escort the client back to his room A cast is applied to a 9 month old girl for the treatment of talipes equinovarus. Which of the following instructions is MOST essential for the nurse to give to the child's mother regarding her care? 1. Offer appropriate toys for her age 2. Make frequent clinic visits for cast adjustment 3. Provide an analgesic as needed 4. Do circulatory checks of the casted extremity 4. Do circulatory checks of the casted extremity