Exam 11: Nclex: What You Need to Know

During her first month postpartum, a woman who is breast feeding her baby develops unilateral mastitis. Select the statement by the nurse that demonstrates an appropriate use of the therapeutic communication technique called self-disclosure.

Identify the nursing action that is most appropriate for the nurse to take when caring for a newborn who has tremors, has a high-pitched cry, and is diaphoretic.

Identify the nursing action that is most appropriate when the nurse assesses a small amount of clear, watery fluid oozing from the nose of a client who received a blow to the head in a barroom fight.

Identify the initial action by the nurse that is most appropriate for a 10-year-old boy who is seen in the ER with a partially detached retina on the left side of the left eye after sustaining a head injury during a baseball game.

Identify the action that the nurse should take first when a 12-year-old boy who is sitting in a chair begins to have a tonic-clonic seizure.

Which word found in a stem question would make the question negative?

Select the action by the nurse that has the highest priority in the care of several clients who are receiving postoperative pain management by epidural analgesia on the surgical unit.

After a stab wound to the chest, a client develops a pneumothorax and has a chest tube inserted in the emergency room (ER) that is connected to a self-contained underwater-seal drainage system (pleur-evac). Select the action the ER nurse should take first when she notices that the second chamber has stopped bubbling.

Select the action by the nurse that best helps reduce intracranial pressure in a client who sustained a head injury after a diving accident.

Select the nursing action that takes highest priority in providing care for a client diagnosed with an organic brain syndrome.

A 1-day-postoperative client has both morphine sulfate (MS) and meperidine (Demerol) prescribed for pain. Upon which assessment would the nurse decide to give the meperidine rather than the morphine sulfate?

Identify the action by the nurse that would promote the optimal effectiveness of Bryant's traction for a 3-year-old child in the pediatric unit who sustained a fractured femur in a fall from his front porch.

Select the instruction given by the nurse to a group of senior citizens attending a class on aging at a senior center that best addresses the normal age-related changes in the skin.

Identify the nursing intervention that has the highest priority for a client who is experiencing hemiparesis secondary to an intercerebral blood clot (stroke).

After a client is connected to a heart monitor in the emergency room, the nurse notes an elevated ST segment on the ECG strip. What nursing action would have the highest priority for this client?

A client with lung cancer has a lobectomy of the left lung and is returned to the recovery room with a chest tube connected to a closed, underwater-seal drainage system. The nurse observes that the system is functioning correctly when he or she notes that the pressure in the suction control chamber of the systems remains at ________________pressure.

A client in chronic renal failure asks the nurse, "Why must I drink this awful-tasting Kayexalate 4 times a day?" Which of the following explanation by the nurse would be most appropriate?"

Which stem question best indicates that an "Analysis" category question is being asked?

A client is admitted to the medical/surgical unit with acute pancreatitis secondary to a viral infection. Select the action by the nurse that is most important in promoting healing of the pancreas.

Select the action by the nurse in the obstetrical clinic that is most appropriate in preparing a client at 18 weeks gestation for an amniocentesis.