NCLEX-RN test uworld questions and answers already graded A+

NCLEX-RN test uworld questions and answers already graded A+

A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. The nurse receives several prescriptions. Which prescription should the nurse initiate first? Click on the exhibit button for additional information. ✔✔Normal saline 2 L via rapid IV bolus.

A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen.How should the nurse respond? ✔✔Refer employee to the employee health provider.

The school nurse assesses an 8-year-old with a history of asthma. The nurse notes mild wheezing and coughing. Which action should the nurse perform first? ✔✔Assess the client's peak expiratory flow.

A client comes to the community mental health clinic seeking treatment for severe anxiety associated with a recent job promotion that requires a 30-minute commute via train. The nurse recognizes that this client most likely suffers from which psychological disorder?✔✔Agoraphobia

A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?" Which statement by the nurse promotes a therapeutic relationship? ✔✔"People with cancer experience fear of dying; tell me about your concerns."

The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed with scarlet fever. The client has a history of type 1 diabetes mellitus. Which statement by the caregivers indicates that further teaching is needed? ✔✔"We will not administer insulin if our child is unable to eat."

A client is diagnosed with right-sided Bell's palsy. What instructions should the nurse give this client for care at home? Select all that apply. ✔✔1. Apply a patch to the right eye at night.

• Chew on the left side.
• Maintain meticulous oral hygiene.
• Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and sensory

alterations. Clients are usually managed as outpatients, with corticosteroids to reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close properly. This may result in eye dryness and risk of corneal abrasions. However, weakness of teh lower eyelid may cause excessive tearing due to overflow in some clients. Facial muscle weakness results in poor chewing and food retention.

The spouse brings a client to the emergency department due to erratic behavior and expressions of despair. The emergency department is extremely busy with many clients. When the triage nurse asks if the client feels suicidal now, the client shrugs the shoulders. What initial action should the triage nurse take? ✔✔Place the client in an inside hallway with one-on-one observation.

The orthopedic health care provider instructs a client with a fractured femur, who has been non- weight bearing for the past 5 weeks, to progress to full weight bearing on the right leg. which advanced crutch gait that most closely resembles normal walking should the office nurse teach the client? ✔✔4-point gait

- there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through

`A nurse administers an intramuscular (IM) injection using the Z-track method technique. Place the steps in chronological order. All options must be used. ✔✔4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from the injection site.

• Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle.
• Inject medication slowly with dominant hand while maintaining traction
• Wait 10 seconds after injecting the medication and withdraw the needle.

Release the hold on the skin, allowing the layers to slide back to their original position.

• Apply gentle pressure at the injection site but do not massage.

The clinic nurse is teaching a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed? ✔✔"If this makes my stomach upset, I will take it with an antacid."

• will impair the absorption of levothyroxine (Synthroid). -- Antacids, calcium and iron

preparations.

• should take levothyroxine on an empty stomach, preferably in the morning, separately from

other medications

The nurse is reviewing laboratory results for several prenatal clients. Which finding is most important to report to the health care provider? ✔✔Client at 24 weeks gestation with hemoglobin of 9 g/dL (90 g/L) and hematocrit of 29%

• during the second half of pregnancy, the fetus beings to store iron, depleting maternal stores.

Hemoglobin <11>

A client with obesity has just started taking orlistat. Which statement by the client indicates a need for further teaching? ✔✔"I have started taking a daily multivitamin with my dinner-time dose of medication."