NCLEX RN EXAM
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Chart/Exhibit Practice Item 
While performing a physical assessment on a client with a long- term history of tobacco use, a nurse notes changes in the client’s fingers (see illustration). 
Angle > 180 
The nurse should best document this assessment finding as: 1. vitiligo. 
2. clubbing. 
3. keratinized. 
4. poor capillary refill. 
ANSWER: 2 
In this question, the nurse should document the finding as clubbing. The picture shows swelling at the distal end of the finger and loss of the normal ...
No symptoms even with physical activity 
II Comfortable at rest with symptoms during ordinary physical activity 
III Comfortable at rest with symptoms during less than ordinary physical activity 
IV Symptoms at rest 
1. Obtain additional evening rest. 
2. Prevent and/or obtain early treatment of infections. 3. Anticipate vaginal delivery with regional block and 
forceps. 
1. Avoid strenuous exercise. 
2. Administer prophylactic penicillin, digitalis, diuretics. 3. Obtain frequent rest periods. 
...
SUBJECT AREA REVIEW 
SUBJECT AREA REVIEW 
CHAPTERS 
CHAPTERS 
 
 Coordinated Care 
This chapter contains questions and answers from the following topic areas: 
■ Advance Directives 
■ Advocacy 
■ Client Care Assignments 
■ Client Rights 
■ Collaboration with Multidisciplinary Team 
■ Concepts of Management and Supervision 
■ Confidentiality 
■ Consultation 
■ Continuity of Care 
■ Delegation 
■ ...
20. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority interven- tion for this client is: 
Quick Check Quick Answer: 223 
Detailed Answer: 227 
Quick Answer: 223 Detailed Answer: 227 
Quick Answer: 223 Detailed Answer: 227 
Quick Answer: 223 Detailed Answer: 227 
 A. 
 B. 
 C. 
 D. 
Measure the urinary output. Check the vital signs. 
Encourage increased fluid intake. Weigh the client. 
21. A client with hemophilia has a noseb...