Exam 11: Nclex: What You Need to Know

The nurse notes that the primary health-care provider has prescribed that the total parenteral nutrition (TPN) a client has been receiving for the past 10 days be discontinued and changed to 0.9% normal saline. Which action would be most appropriate for the nurse to take?

Select the action that the clinic nurse should take first when an adult client with a severe sunburn of the chest, back, face, and legs is seen in the clinic.

Select the nursing action that takes highest priority in the care of a client with a chest tube connected to a closed underwater-seal drainage system.

Identify the action by the nurse that would best promote a positive therapeutic community milieu when several clients in the psychiatric inpatient unit ask the unit manager if she could extend the visiting hours until 9 p.m.

Choose the most therapeutic response by the nurse to a new mother who verbalizes uncertainty about her ability to breast feed her new baby.

Identify the assessment found by a nurse on a client who is admitted with a possible accidental overdose of imipramine (Tofranil) that would require the most immediate intervention.

After a third episode of cystitis, a client asks the nurse what she can do to prevent another infection. The nurse recommends that the client follow an acid-ash diet and avoid which of the following foods?

In reviewing the chart of a 15-year-old client who suffered a head trauma in a sports accident, the nurse notes a serum potassium of 2.8 mEq/L and a serum sodium of 122 mEq/L. What addition to the nursing care plan would be most appropriate for the nurse to make based on this information?

Select the position that is best for the nurse to keep a client in who received a head injury in a sports accident and has his neck stabilized in a neck collar.

How is the nursing process treated by the NCLEX-CAT, RN?

A 37-year-old woman has an internal radioactive implant placed for the treatment of uterine cancer. Select the action the nurse should take first when she finds the implant in the bed linens during routine care.

Select the nursing action that would best help reduce the cramping experience by a client who was receiving intermittent feedings though a gastric tube (PEG tube).

Which statement made by a student after a class on the NCLEX-CAT, RN test indicates that the student has a good understanding of the examination?

Identify the dietary instructions by the nurse that are most appropriate for a client who has a positive Trousseau's sign.

Choose the action by the nurse that takes highest priority in the treatment of a child with sickle cell anemia.

Which statement by a nurse working with a client who is suffering from paranoid delusions and who is not very talkative would block therapeutic communication?

Identify the initial action that the nurse should take to treat an acute episode of diabetic ketoacidosis (DKA) in a client with type I, insulin-dependent diabetes mellitus.

A client is to receive a heparin drip at 800 units per hour. The medication is mixed heparin 20,000 units in 500 mL of D5W. At what rate should the nurse set the volumetric pump?

Identify the action the nurse takes to best prevent contractures in a client with second- and third-degree burns of the legs.

While performing a physical examination during a well-child check on a 6-month-old infant, the nurse hears a loud machinery murmur. Identify the area on the child's chest where this abnormal heart sound can best be heard. (Place cursor on the correct area and click.)