Exam (elaborations)
NCLEX Practice- Saunders Questions with correct answers
Institution
NCLEX Saunders
NCLEX Practice- Saunders Questions with correct answers
[Show more]
Preview 4 out of 42 pages
Uploaded on
September 18, 2024
Number of pages
42
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers
Institution
NCLEX Saunders
Course
NCLEX Saunders
$15.99
100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached
NCLEX Practice- Saunders Questions
with correct answers
The |nurse |notes |blanching, |coolness, |and |edema |at |the |peripheral |IV |site. |On |the |basis |of
|these |findings, |the |nurse |should |implement |which |action? |
1. |remove |the |IV
2. |apply |a |warm |compress
3. |check |for |blood |return |through |the |line
4. |measure |the |area |of |infiltration |- |ANSWERS✔✔ |1. |remove |the |IV |- |prevent |any |further
|damage |that |may |be |caused |by |infiltration
The |nurse |has |received |the |client |assignments |for |the |day. |Which |client |should |the |nurse
|see |first? |
1. |the |client |who |needs |SC |insulin |before |breakfast
2. |the |client |who |has |a |NG |tube |set |on |intermittent |suction |
3. |the |client |who |is |2 |days |post-op |and |is |complaining |of |pain |at |the |incision |site
4. |the |client |with |a |blood |glucose |of |50 |mg/dl |and |is |complaining |of |blurred |vision |-
|ANSWERS✔✔ |4. |the |client |with |a |blood |glucose |of |50 |mg/dl |and |is |complaining |of |blurred
|vision- |hypoglycemia |can |be |life |threatening, |so |intervene |and |treat |this |first!
The |nurse |prepares |to |care |for |a |client |on |contact |precautions |admitted |with |MRSA. |The
|client |has |an |abdominal |wound |that |requires |irrigation |and |has |a |tracheostomy |that |is
|hooked |up |to |a |mechanical |ventilator, |which |requires |frequent |suctioning. |The |nurse
|should |don |which |protective |equipment |before |entering |the |patient's |room? |
1. |gloves |and |gown
2. |gloves |and |face |shield
3. |gloves, |gown, |and |face |shield
4. |gloves, |gown, |shoe |protectors |- |ANSWERS✔✔ |3. |gloves, |gown, |and |face |shield
,The |nurse |is |choosing |age-appropriate |toys |for |a |toddler. |Which |toy |selection |is |the |best
|choice |for |this |age? |
1. |puzzle
2. |toy |soldiers
3. |large |stacking-blocks
4. |card |game |with |large |pictures |- |ANSWERS✔✔ |3. |large |stacking-blocks- |identify |safety
|risks |when |interacting |with |smaller |children- |choking |hazards, |inability |to |comprehend
|rules, |etc.
A |client |diagnosed |with |coronary |artery |disease |has |selected |guided |imagery |to |help |cope
|with |the |psychological |stress |caused |from |the |diagnosis. |Which |statement |made |by |the
|client |indicates |an |understanding |of |this |stress |reduction |measure? |
1. |"This |will |help |only |if |I |play |music |at |the |same |time." |
2. |"This |will |work |for |me |only |if |I |am |alone |and |in |a |quiet |area." |
3. |"I |need |to |do |this |only |when |I |lie |down |in |case |I |fall |asleep." |
4. |"The |best |thing |about |this |is |that |I |can |use |it |anywhere |at |anytime." |- |ANSWERS✔✔ |4.
|"The |best |thing |about |this |is |that |I |can |use |it |anywhere |at |anytime." |- |guided |imagery
|involves |the |client |creating |an |image |in |the |mind, |concentrating |on |that |image, |and
|gradually |becoming |less |aware |of |surrounding |stimuli.
A |client |with |Parkinson's |disease |develops |akinesia |(freezing |or |no |movement) |while
|ambulating, |increasing |the |risk |for |falls. |Which |suggestion |by |the |nurse |would |cause |the
|client |to |alleviate |this |problem? |
1. |use |a |wheelchair |when |moving |around
2. |stand |erect |and |use |a |cane |while |ambulating
3. |keep |feet |close |together |when |walking |and |use |a |walker
4. |consciously |think |about |walking |over |imaginary |lines |on |the |floor |- |ANSWERS✔✔ |4.
|consciously |think |about |walking |over |imaginary |lines |on |the |floor- |clients |with |Parkinson's
|develop |bradykinesia |(moving |slowly) |or |akinesia. |Having |these |clients |imagine |lines |on
|the |floor |to |walk |over |can |keep |them |moving |forward |while |remaining |safe.
,The |nurse |monitors |a |client |receiving |digoxin |for |which |early |manifestation |of |digoxin
|toxicity?
1. |anorexia
2. |facial |pain
3. |photophobia
4. |jaundice |- |ANSWERS✔✔ |1. |anorexia- |digoxin |is |a |cardiac |glycoside |used |to |manage/treat
|heart |failure |and |A-fib. |The |most |common |early |manifestations |of |toxicity |include |GI
|disturbances- |nausea, |vomiting, |anorexia.
A |MRI |is |ordered |for |a |patient |with |a |suspected |brain |tumor. |The |nurse |should |implement
|which |action |to |prepare |the |patient |for |this |test? |
1. |shave |the |groin |for |insertion |of |a |femoral |catheter
2. |remove |all |metal-containing |objects |from |the |client
3. |keep |the |client |NPO |before |procedure
4. |instruct |the |client |of |inhalation |techniques |for |the |administration |of |the |radioisotope. |-
|ANSWERS✔✔ |2. |remove |all |metal-containing |objects |from |the |client
A |client |with |renal |insufficiency |has |a |Mg+ |level |of |3.5 |mEq/L. |On |the |basis |of |this
|laboratory |result, |the |nurse |expects |which |client |symptom? |
1. |hyperpnea
2. |drowsiness
3. |hypertension
4. |physical |hyperactivity |- |ANSWERS✔✔ |2. |drowsiness- |normal |Mg+ |level |is |1.5-2.5 |mEq/L.
|This |client's |level |indicates |hypermagnesemia- |leads |to |neurological |manifestations |such |as
|neurological |depression- |drowsiness, |sedation, |lethargy, |muscle |weakness, |respiratory
|depression
A |client |is |scheduled |for |an |angioplasty. |The |client |states, |"I |am |so |afraid |that |this |procedure
|will |hurt |and |will |make |me |worse |off |than |I |already |am." |Which |response |by |the |nurse |is
|appropriate? |
1. |"Can |you |tell |me |what |you |understand |about |this |procedure?"
, 2. |"Your |fears |are |a |sign |that |you |really |should |have |this |procedure |performed." |
3. |"These |are |normal |fears, |but |please |be |assured |that |everything |will |be |okay." |
4. |"Try |not |to |worry. |This |is |a |well-known |and |easy |procedure |for |the |health |care |provider
|to |perform." |- |ANSWERS✔✔ |1. |"Can |you |tell |me |what |you |understand |about |this
|procedure?" |- |therapeutic |communication! |Explore |the |client's |feelings |and |concerns,
|determine |their |understanding |of |the |procedure.
The |ED |nurse |is |caring |for |a |child |suspected |of |acute |epiglottitis. |Which |interventions |apply
|in |the |care |of |the |child? |SATA. |
1. |obtain |a |throat |culture
2. |ensure |a |patent |airway |
3. |prepare |the |child |for |a |chest |x-ray
4. |maintain |child |in |supine |position
5. |obtain |a |pediatric-size |tracheostomy |tray
6. |place |the |child |on |an |O2 |monitor |- |ANSWERS✔✔ |2. |ensure |a |patent |airway |
3. |prepare |the |child |for |a |chest |x-ray
5. |obtain |a |pediatric-size |tracheostomy |tray
6. |place |the |child |on |an |O2 |monitor |
acute |epiglottitis- |serious |obstructive |inflammatory |process |that |requires |immediate
|intervention- |interventions |pertaining |to |AIRWAY |IS |PRIORITY
A |client |who |experienced |a |MI |is |being |monitored |via |cardiac |telemetry. |The |nurse |notes
|the |sudden |onset |of |this |cardiac |rhythm |on |the |monitor |and |immediately |takes |which
|action? |
1. |take |client's |blood |pressure
2. |initiates |CPR
3. |places |a |nitroglycerin |tablet |under |the |client's |tongue |
4. |continues |to |monitor |client |and |contacts |healthcare |provider |- |ANSWERS✔✔ |2. |initiates
|CPR |- |CPR |is |initiated |until |a |defibrillator |can |be |used.