Exam 11: Nclex: What You Need to Know

While reviewing the laboratory results for a client, the RN notes that pulmonary function test values are as follows: residual volume: 1800 mL; vital capacity: 2300 mL; tidal volume: 275 mL. Identify the nursing action included in the care plan developed by the LPN that the RN would change.

Identify the correct procedure that a graduate who fails the NCLEX-CAT, RN must follow.

A post-C-section client who had the procedure under an inhalation anesthetic begins to experience severe shivering in the recovery room. In addition to covering the client with extra blankets, select another appropriate action to be taken by the nurse.

Identify how the nurse can best assess the blood pressure of a client who develops lymphedema in both arms after a bilateral mastectomy.

Identify the nursing action that takes the highest priority in the care of a 2-year-old boy in the edematous phase of nephrotic syndrome.

Select the action that the nurse should take after finding a firm nodule during a scrotal examination of a 32-year-old man.

Select the action by the nurse that best helps promote the adaptation of a client in Addisonian crisis.

Identify the statement made by a client that would indicate to the nurse that additional teaching was required for a client who was scheduled for a lumbar puncture.

Four clients are brought to the ER for treatment after a severe motor vehicle accident. Identify the client that the triage nurse would send for treatment first.

A 23-year-old woman with partial and full thickness burns over 28% of her body is being treated with the "open method" of burn treatment. Select the nursing action that best helps prevent discomfort caused by air currents over the burn areas.

During a prenatal visit, the nurse is teaching a pregnant client about sources of complete protein. Identify the food with the highest amount of this nutrient.

Select the discharge instruction to a client diagnosed with multiple sclerosis (MS) that most reduces the risk potential for complications.

Identify the proper sequence for the steps the nurse should follow in changing the dressing on an incision that is closed with surgical staples. ____ Apply antiseptic ointment to the suture line. ____ Cleanse the area around the incision with an appropriate cleansing solution. ____ Explain the procedure to the client. ____ Teach the client how to minimize stress on the incision line. ____ Note characteristics of any drainage. ____ Remove the old dressing using clean technique. ____ Apply the new dressing using sterile technique.

Select the teaching point the community health nurse should emphasize as a clue to possible attempted suicide when conducting a parenting class about suicidal ideation in school-aged children.

A 30-month-old boy with acute bronchitis and respiratory distress is admitted to the pediatric unit for croup (mist tent treatment). Choose the intervention by the nurse that is developmentally most appropriate when the child refuses to stay in the tent.

Choose the position that the nurse should place a client in to best relieve the midsternal chest pain caused by pericarditis secondary to a viral infection.

Select the position that is most appropriate for a client who just returned from a myelogram in which a water-soluble contrast medium (metrizamide) was used.

Identify the action by the nurse caring for a client who has just returned from extracorporeal shock wave lithotripsy that best promotes the client's physiological adaptation.

A client receives an autograft of skin from his abdomen to his right arm after suffering a third-degree burn from a campfire. Select the instructions by the nurse that best insure that the newly grafted skin is not rejected.

Identify the action by the nurse that is most important in providing care for a client who has a Fiberglas cast on her right arm.