BUNDLED NCSBN ALL NCLEX RN Review Study Questions with Answers

a client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is to: the client next to the nurse's station a night light and turn off the television up the television and a soft light on during the night. soft music during the night and maintai...

The nurse is caring for a patient experiencing mania. Which is the most appropriate nursing intervention? A. Provide consistency among staff members when working with the patient. B. Negotiate limits so the patient has a voice in the plan of care. C. Allow only certain staff members to interact...

Question: 1 On the third postpartum day, the nurse would expect the lochia to be: A. Rubra B. Serosa C. Alba D. Scant Answer: A Explanation: (A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots. (B) This discharge occurs from days...

Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document specifies the clie...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. ...

The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action? - Stay with the person and encourage the person to remain stil...

When caring for a client in the first stage of labor, the nurse documents cervical dilation of 9 cm and intense contractions lasting 45 to 60 seconds and occurring about every 2 minutes. Based on these findings, the nurse should recognize that the client is in which phase of labor? 1. Active ...

The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Capacity (FVC) 2. A narrowed chest cavity...

A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is there any other way to take care of this without have surgery?" The nurse has a duty to first: A. Reassure the client that the surgery is the best treatment o...

Delegation - Right Person, Right Task, Right Circumstance, Right Communication, Right Supervision AP's: vitals and ALDs PN: stable clients and the expected outcome Bleeding - Stabilize object Colorectal Screening - Sigmoid: 5 yrs Colon: 10 years ages 50-75 Manual BP - 1 Inch above an...

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care - b. Masl...

the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - A. Nasal congestion why? removal of the pituitary gland is u...

DO NOT delegate (E.A.T.) - E- evaluate A- assess T- teach Addisons - down, down, down, up, down hyponatremia, hypotension, decreased blood volume, hyperkalemia, hypoglycemia Cushings - up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia N...

A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? 1Write down potential solutions to the problems today by shift's end 2Add this concern to th...