NCLEX-RN test uworld questions and
answers already graded A+
A nurse in the intensive care unit is caring for a client in the immediate postoperative period
following abdominal surgery. The nurse receives several pres
...
NCLEX-RN test uworld questions and
answers already graded A+
A nurse in the intensive care unit is caring for a client in the immediate postoperative period
following abdominal surgery. The nurse receives several prescriptions. Which prescription
should the nurse initiate first? Click on the exhibit button for additional information. ✔✔Normal
saline 2 L via rapid IV bolus.
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen.
How should the nurse respond? ✔✔Refer employee to the employee health provider.
The school nurse assesses an 8-year-old with a history of asthma. The nurse notes mild wheezing
and coughing. Which action should the nurse perform first? ✔✔Assess the client's peak
expiratory flow.
A client comes to the community mental health clinic seeking treatment for severe anxiety
associated with a recent job promotion that requires a 30-minute commute via train. The nurse
recognizes that this client most likely suffers from which psychological disorder?
✔✔Agoraphobia
A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?" Which
statement by the nurse promotes a therapeutic relationship? ✔✔"People with cancer experience
fear of dying; tell me about your concerns."
The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed with scarlet
fever. The client has a history of type 1 diabetes mellitus. Which statement by the caregivers
indicates that further teaching is needed? ✔✔"We will not administer insulin if our child is
unable to eat."
A client is diagnosed with right-sided Bell's palsy. What instructions should the nurse give this
client for care at home? Select all that apply. ✔✔1. Apply a patch to the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and sensory
alterations. Clients are usually managed as outpatients, with corticosteroids to reduce
inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close properly. This
may result in eye dryness and risk of corneal abrasions. However, weakness of teh lower eyelid
may cause excessive tearing due to overflow in some clients. Facial muscle weakness results in
poor chewing and food retention.
The spouse brings a client to the emergency department due to erratic behavior and expressions
of despair. The emergency department is extremely busy with many clients. When the triage
nurse asks if the client feels suicidal now, the client shrugs the shoulders. What initial action
should the triage nurse take? ✔✔Place the client in an inside hallway with one-on-one
observation.
The orthopedic health care provider instructs a client with a fractured femur, who has been nonweight bearing for the past 5 weeks, to progress to full weight bearing on the right leg. which
advanced crutch gait that most closely resembles normal walking should the office nurse teach
the client? ✔✔4-point gait
- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through
[Show More]