Green NCLEX Comprehensive Exam B Questions and Answers
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Course
RN Comprehensive
Institution
RN Comprehensive
The nurse looks up the chart of a cousin who is not under the care of the nurse. the manager is notified by the computer tech dept that one of the nurses on the unit accessed a chart of a client not on the unit. what is the manager's next action - Answer-reach out to HR
a client is receiving PTU...
Green NCLEX Comprehensive Exam B
Questions and Answers
The nurse looks up the chart of a cousin who is not under the care of the nurse. the
manager is notified by the computer tech dept that one of the nurses on the unit
accessed a chart of a client not on the unit. what is the manager's next action - Answer-
reach out to HR
a client is receiving PTU prior to thyroid surgery. which diagnostic test results indicate
that the med is producing the desired effect - Answer-decreased Te and T4 levels
the nurse is planning care at the beginning of the shift. which client will the nurse see
first - Answer-the client with a new onset of a temp of 102 F
a client with type 2 DM has a plantar foot ulcer. when developing a teaching plan
regarding foot care, what information should the nurse obtain frist from the client -
Answer-watch the client complete a foot exam
which monitored pattern of FHR alerts the nurse to seek immediate action by the HCP -
Answer-a baseline FHR from 168-170bpm with a decline in the HR after the onset of a
contraction
a client admitted to a med-surg inpatient unit complains to the nurse about feeling hot.
the client asks, "Can I have my spouse bring in my favorite fan from home?" what is the
nurse's best response - Answer-all electrical appliances must be cleared by the
hospital's physical plant
a client is admitted to the hospital with a dx of hypokalemia. which clinical manifestation
will the nurse report to the HCP - Answer-heart palpitations
the clinic nurse is performing an intake interview of a mother of the 5 year old client. the
mother reports a fever of 103-104 F for 3 days, muscle pain, fatigue and a new break
out of red, flat rash along the child's hairline. what is the next nursing action - Answer-
review the child's chart for IZ
when caring for an 80 year old client wiht PNA, which finding is of most concern to the
nurse - Answer-decreased LOC
a client exhibits symptoms of alcohol intoxication. the BAL is 200mg (0.2%). which
measurement tool is best for the nurse to use during the initial assessment of this client
- Answer-glasgow coma scale
, the nurse is providing care to a client who has a newly rx'd clopidogrel. which black box
warning will the nurse review prior to administering the med - Answer-this drug could
cause heart attack or stroke when taken by clients with certain genetic conditions
A primipara presents to the perinatal unit describing rupture of the membranes (ROM),
which occurred 12 hours prior to coming to the hospital. An oxytocin (Pitocin) infusion is
begun, and 8 hours later the client's contractions are irregular and mild. What vital sign
should the nurse monitor with greater frequency than the typical unit protocol? -
Answer-maternal temp
the nurse is preparing for the admission of a client who had surgically placed radiation.
what will the nurse include in the client's plan of care SATA
A) place the client in a private room
b) place a no visitors sign on the client's door
c) place a linen hamper in the clien'ts room
d) place a lead-lined container in the client's room
e) offer only soft foods while in the hospital - Answer-a, c, d
a nurse implements an education progran to reduce hospital readmissions for clients
with HF. which statement by the client indicates that further teaching is needed SATA
a) I will not take my digoxin if my HR is >100bpm
b) I should weigh myself once a week and report increases
c) it is important to increase my fluid intake whenever possible
d) I should report an increase of swelling in my feet or ankle
e) I will call my HCP if I have diarrhea for more than one day - Answer-a, b, c
the nurse teaches a class on bioterrorism. which method of transmission are possible
with the biologic agent Bacillus anthracis (Anthrax) SATA
a) inhalation of powder form
b) handling of infected animals
c) spread from person to person through coughing
d) eating undercooked meat from infected animals
e) direct cutnaeous contact with the power - Answer-a, b, d, e
the nurse hears a serious of long-duration, discontinuous, low-pitched sounds on
auscultation of a client's lower lung fileds. which documentation of this finding is correct
- Answer-coarse crackles
in caring for a pregnant woman with gestational diabetes, the nurse should be alert to
which finding - Answer-a 2 hour postprandial level of >120
an 8 y/o child is receiving digoxin for congestive HF. when performing an assessment,
the nurse finds the child's apical HR is 80bpm with complaints of being slightly
nauseated. the most recent serum digoxin level is 1.2. what action will the nurse take -
Answer-b/c the child's HR and dig level are WNL, assess for the cause of nausea
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