NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LAT, Exams of Nursing

Download NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LAT and more Exams Nursing in PDF only on Docsity! NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ The charge nurse is reviewing the protocol of care for clients with cervical radioactive inplants with the new nurse. Which statement tells the charge nurse that the nurse requires more teaching? a. Visitors can’t stay more than 30 minutes in the client’s room b. A long tong should be kept in the room, in case of implant dislogement c. The client has to wear a dosimeter at all times d. Visitors have to keep a distance of 6 feet from the client’s bed Which absent milestone should concern the nurse in a 3yearold child? a. Can’t draw a square b. Can’t hop in one foot c. Can’t eat with a spoon d. Can’t catch a ball Nurse receives four phone calls from pregnant women in their last trimester of pregnancy. Which call should be answered first? a. Client can’t sleep supine because shortness of breath b. Client with frequent heartburn c. Client who can’t remove wedding ring d. Client with frequent non painful uterine contractions A diabetic client has been diagnose with gastroparesis. Which medication the nurse expects to be prescribed? a. Omeprazole b. Metoclopra mide c. Metronidazol e d. Ranitidine How the nurse explores the V cranial nerve? SATA a. Make the client close the eyes and smile NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ b. Make the client close the eyes and touch each side of face with a cotton c. Ask the client to clench the jaw d. Obtainin the blinking reflex blowing on each eye e. Asking client to move the eyeballs in all directions NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ The nurse is assessing a confuse agitated client. Which of the following are appropriate interventions for the client at this moment? SATA a. Move to a room near the nursing station b. Tie ordered limb restrains to siderails c. Make sure all tubes and IV are visible and working d. Frequently orient the client to place and time e. Advise family to stay with the client to reorient him A nurse is assessing a 70 year old client. What gastrointestinal abnormality the nurse recognizes is common in client of this age? a. Diverticulosis b. Intestinal obstructions c. Appendicitis d. Diverticulitis A client is admitted with presuntive diagnose of bacterial meningitis. After initiating droplets precautions, which doctor order should the nurse carry out first? a. Administer cephalosporin IV b. Initiate an IV catheter c. Prepare client for lumbar tap d. Initiate seizure precautions The nurse is teaching a client with hyperuricemia and gout about the dietary requirements. Which food selection the nurse that more teaching is required? a. The client adds spinach to a tossed salad b. The client eats grilled chicken with tortillas c. The client eats grilled scallops with rice d. The client selects steamed broccoli and carrots The nurse is assessing a client and while tapping on the VII cranial nerve NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ observes the following reaction . Which client’s statement requires more follow up? a. I will drink a glass of milk every morning and night. b. I will choose mango and orange for a snack c. I do not have problem adding whole grains and broccoli to my diet d. I will increase my intake of kale and spinach A client has been newly prescribed olanzapine. What should the nurse include in the teaching plan? SATA a. Change position slowly when getting up b. Advise this medication could result in hypertension c. You could experience dry mouth d. Communicate with your doctor before taking OTC medications e. Do not discontinue the medication abruptly NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ A woman at 25 weeks gestation is going to have an amniocentesis. Which client’s statements indicate correct understanding about the procedure? SATA a. The procedure can last for about 30 min long b. I will have to lay in bed in lateral position c. I will have to sign a consent prior to the procedure d. The doctor will ask me to empty my bladder before starting e. I will lay supine for the procedure f. I do not have to empty my bladder, it must be full for the procedure A client with hypothyroidism is taking levothyroxine. Which of the following statements is correct in relation with this medication. SATA a. Take the medication everyday with breakfast b. Take everyday with empty stomach c.Don’t change brands without consulting your doctor d. Don’t take at night because it will give you insomnia e.I will need blood work to evaluate if the dose is therapeutic Which of the following client’s statements suggest the diagnose of anorexia nervosa? SATA a. I have a vigorous work out plan to perform at least twice daily b. I’m extremely terrified of becoming fat c. I have lots of thin hair in my back and arms d. I finally have decided a career I would like to persue e. I have set myself goals that I will work on achieving soon A med surg nurse is floating to the Pediatric ICU unit. Which client should be assinged to the floating nurse? a. An 18monthold baby just diagnosed of type 1 diabetes mellitus b. An unconscious 4 month old baby after parent stroke his head against the wall c. A baby with mecanical ventilation after abdominal surgery d. A baby with irregular respirations after choking at home with food How the nurse assess pain in a 3yearold child after surgery? NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. Pain in injection site Which of the following findings requires the immediate intervention of the nurse in a type 1 diabetic client admitted 6 hours ago for treatment of a diabetic ketoacidosis? a. Ketone bodies +++ in urine b. Blood glucose 80 mg/dL c. ABGs: ph 7.30, pCO2 32, HCO3 20 d. Urinary output 1,800 mL in the last 6 hours The parents of a child with school phobia consult to the school nurse because the child has refused going to school for the last three days. The school nurse should advise the parents to:. a. Allow the child to be at home until the next course when will be more mature b. Encourage at least one parent to stay with the child at school until adaptation develops c. Recommend that the child comes back to the school, starting with few hours a day d. Demonstrate that the school assistance is mandatory and the child needs to return to class independently of his/her resistance NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ A client complains of palpitations and chest pain. Assesment shows a client awake and oriented, with heart rate 140 bpm, respirations 20 x’, BP 98/60 mmHg. The monitor showed the following rhythm: What intervention by the nurse should be initiated immediately: a. Call for help (code) b. Make a 12 lead EKG c. Defibrillate immediately d. Start chest compressions A client in nasogastric suction. What electrolyte alteration the nurse expects to find? a. Hyperkalemia b. Hypocalce mia c. Hypokalemia d. Hypercalcemia A pregnant woman who initiated pregnancy with a BMI of 21 is asking the nurse about dietary recommendations. Which of the following recommendations should the nurse advise? a. At the end of pregnancy, the client should have increased her weight between 15 to 25 pounds b. The diet should show an increment in the proportion of proteins and fats c. The client should increase in 500 kcalories the total caloric intake during the third trimester. NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. The diet should duplicate the content of calcium to prevent osteoporosis and tooth decay A client with 35 weeks gestation came to labor room with membrane rupture of 18 hours. The test for group B streptococcus in vagina is not known yet. Which of the following interventions has the highest priority? a. Assess for uterus contraction b. Initiate prophylactic antibiotics c. Avoid vaginal examination d. Practice a deep stick urine analysis A 59 yearold male alcoholic client with type 2 diabetes mellitus well controlled wigh glymepiride for the last 5 years presents to the ER with confusion, restlessness and tachycardia. Which nursing intervention is the most important at this moment? a. Assess for signs of alcohol withdrawal b. Administer thiamine as ordered c. Determine capillary blood sugar d. Initiate seizure precautions A female client is brought to ED uncounscious and requiring mechanical ventilation. Which of the following actions by the nurse is the priority next? a. Remove all the jewelry b. Remove a vaginal tampoon c. Localize any medical alert tag d. Remove any medication patches NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ The nurse receives order of administering insulin Lispro and Glargine. How are those insulins administered? a. At same time but in two separate syringes b. Lispro 30 min before meals and glargine after meals. c. Lispro 30 min before each glargine dose d. At the same time and in the same syringe Which of the following female clients is at highest risk for breast cancer? a. 30 year old active runner b. 40 year old with twins c. 45 year old with 21 year old child and mother who had breast cancer at 65 d. 55 year old with 2 kids and sister who had breast cancer at 35 What should the nurse include in the care plan after a conventional cardiac catheterization? a. increase fluids b. cough and deep breathing exercises c. early ambulation d. monitor radial pulses Which finding after cardiac catheterization requires follow up by the nurse? a. Symmetrically decreased pedal pulses b. Pain in femoral area c. Lump in femoral area d. Urinary output 60 ml per hour How does pseudoephedrine work in nasal congestion and sinusitis? a. Decongestant blocking histamine b. Antibacterial action c. Decongestant causing vasoconstriction d. Elevating the blood pressure NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Client’s potassium is 7.0 mEq/dL. Which prescription should the nurse administer first? a. Calcium gluconate IV b. Sodium polystyrene enema c. Spironolactone oral d. Dextrose 10% IV 13. Client needs blood transfusion and is O positive. Which blood can they receive? SATA a. O negative b. AB negative c. B positive d. A negative e. O positive Nurse is going to administer nitroglycerin ointment. Which of the following is correct? NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ a. apply to a nonshaved area and tape down the ends b. wash area with soap and water before applying c. place ointment in the same place where it was in previous dose d. wearing gloves spread out ointment to 4 inches on area of application A positive direct Fluorescent Treponema Antibody Absorption (FTAABS) test confirms which condition? a. Renal infection b. Syphilis c. Lupus d. Urethritis Which nurse intervention is correct routine when providing post mortem care? a. send the corpse for autopsy b. allow family to join in post mortem care c. dispose of client’s belongings in biohazards bins d. contact the hospital chaplain for religious services The nurse is providing care for a client1 hour post electroconvulsive therapy. What client statement requires the nurse intervention? a. “I can’t remember anything from this morning” b. “Second round of electroshock is in about 12 hours” NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ b.ALT 340 IU/L c. Prolonged PT & INR with bleeding d.Treated with nacetyl cysteine e. Symptoms observed 3 to 4 hours after intoxication f. Toxic dose limit is 6 grams An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? a. The foster mother b. The social worker who manage the case officially c. The hospital ethics committee d. The court who knows of the foster care case A 5monthold infant is brought to the clinic by the mother, who reports that he has nasal congestion, fever and difficulty breathing. The nurse should first: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ a. ask for history of allergies b. perform a respiratory assessment c. notify the physician d. take vital signs, including temperature The nurse is hanging the bag of blood for a transfusion. What is the correct way of administering the transfusion after the tubing is primed? a. Bags of NS and blood with independent tubing, NS clamped and blood opened b. Bags of NS and blood connected with Y tubing with blood and NS opened c. Bags of NS and blood with independent tubing, both left opened d. Bags of NS and blood connected with Y tubing, with NS clamped. A nurse is caring for a client who had a vaginal delivery 4 hours ago. The client has saturated a perineal pad in 20 minutes. During assessment, the nurse notices that the client has a boggy uterus that is deviated to the right. Which intervention should the nurse perform first? a. Assist client to the empty bladder b. Begin oxytocin infusion at 125 milliunits/min IV c. Obtain a complete blood count (CBC) d. Start oxygen at 10 L/min via facemask Male client with type 2 diabetes mellitus well controlled with metformin. Six hours ago the client went to cardiac catheterism with iodine contrast. Now the client is telling the nurse his metformin dose is due. Which of the following interventions is the appropriate to be carried out by the nurse? A. Reinitiate metformin with a snack B. Determine capillary blood sugar before giving metformin C. Withhold the dose and continue administering fluids D. Administer metformin with water Client is going to a cardiac catheterism to determine extension of coronary NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ compromise. Which laboratory finding requires follow up before the procedure? A. A1c 9 % B. Creatinine 1.8 mg/dL C. Positive Hepatitis B antibodies D. Hemoglobin 10g/dL Which step should the nurse take first when administering a liquid medication to an infant? a. Hold the infant securely and raise the infant’s head to about a 45 degree angle or higher b. Place the dropper at the corner of the infant’s mouth and let the drug run into the pocket between the cheek and gum c. Identify the infant by checking the armband and asking the name to parent d. Verify the physician’s order and the available medication The nurse is receiving the morning shift. What patient should the nurse see first? A. Client with MI 72 hours ago B. Client to be discharged in two hours NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Client in paroxetine showing rigidity and tachycardia d. Bulimic locked in restroom for too long after lunch Which pediatric client sees the nurse first? a. Infant with cough and temperature 102 oF b. Asthma attach with wheezes and FEV 65% c. 5 year old with epiglottis and drooling. d. 6 months old with RSV infection and wheezes What findings expect the nurse to see in a client with head trauma presenting Cushing’s triad? SATA a. Systolic blood pressure 150 mmHg b. Heart rate 105 bpm c. Respiratory rate 26 rpm d. Diastolic blood pressure 98 mmHg c. Widening of pulse pressure d. Glasgow comma scale 14 e. Heart rate 60 bpm What findings expect the nurse to present a baby shaken syndrome victim? a. Bulging fontanel b. Tachycardia c. High pitch cry d. Retina hemorrhages e. Bruised arms d. Cigarette burns e. Overwhelmed parents Which is an example of the ethical principle of veracity? a. The nurse returns to reevaluate the client as promised, after pain medication was given b. The nurse refuses to administer a dose of medication inadequate to the client’s NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ weight c. The nurse tells the infant the vaccine is going to hurt a little d. The nurse asks for the client’s reasons to refuse medication What laboratory finding in a client receiving IV heparin requires the nurse immediate intervention? a. aPTT 70” b. Platelets 130,000/mm3 c. INR 1.1 d. positive Ddimer Which intervention provides the most accurate information about and infant’s hydration status? a. Measuring the infant’s urinary output b. Accurately measuring intake and output NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Monitoring serum electrolyte levels and osmolarity d. Weighing the infant daily A client diagnosed with hypothyroidism is treated with levothyroxine. Which finding could tell the nurse that the treatment is effective? a. The client is able to wear a wool sweater in summer b. The client is resting on bed more frequent when feels tired c. The client has a daily bowel movement d. The client has gained eight pounds of weight The nurse received a telephone call from a diabetic client who has one insulin syringe left for the morning dose, but no insulin syringe for the afternoon dose. The client is unable of obtaining more syringes until the next day, but stated he has tuberculin and 3 ml syringes. What is the best nurse response? a. You can use a tuberculin syringe the same way as the insulin syringe b. You have to withhold the afternoon insulin until obtaining more insulin syringes c. You can use the insulin syringe left, recap and use it again for the pm dose d. You can use a 3 ml syringe as far as you are very careful measuring the insulin Which intervention is correct when applying wrist restrains to an agitated client? a. The restrains are tied to the side rails b. The client is restrained in flat supine position c. A soft pad is placed between the restrain and the client’s skin d. The restrains are applied tightly allowing one finger space between skin and the restrain Client with history of coronary artery disease arrives to ER with chest pain. The nurse is going to administer nitroglycerin sublingual as per protocol. Which medication previously taken by the patient contraindicates the use of NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Assess the client’s reasons to change status d. Document the request in the client’s chart Methadone is used for withdrawal of: a. Alcohol b. Heroine c. Cocaine d. Amphetamines Patient to see first: a. Huntington disease with repetitive movements on feet b. Gillian Barre with tingling and weakness on both lower extremities c. Pyelonephritis with fever 103oF d. Type 1 diabetes mellitus with diffuse abdominal pain and nausea Example of horizontal violence in work place: didn’t they teach it at the school you went? Select all the changes suggesting that a patient with DVT is presenting a complication: a. Dyspnea NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ b. Muffled heart sounds c. Pleuritic chest pain d. Tachycardia e. Anxiety f. Hypertension Organize steps for administration of eye drops: 1. Position upright 2. Clean eye secretions from inner to outer cantus 3. Ask patient to look upward 4. Make a pocket with lower lid 5. Instill eye drop and ask to gently close eye lids HIV/AIDS patient with p. jiroveci pneumonia. Wife concerned about risk of acquiring the pneumonia. Best nurse response: a. Use a regular surgical mask and gloves b. Use a particulate respirator c. The risk is for the patient acquiring germs from you d. The pneumonia can be acquired through sexual contact only T3 spinal cord injury client complains of headache. What nurse does first? a. Check for fecal impaction b. Check for bladder distension c. Elevate HOB to high Fowler d. Loose client clothes Child who had head injury, what instruction RN gives the parents before going home? a. Provide only liquid food like soups b. Keep awake, don’t allow NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ to sleep c. Elevate head with two pillows d. Give acetaminophen every 8 hours Match drug and its indication ASA, diltiazem, glipizide, lisinopril, diphenhydramine, fenofibrate Hyperlipidemia, diabetes mellitus, heart failure, hypertension, urticaria, TIA Post adrenalectomy care, what is the most important parameter to monitor? a. Glucose b. Blood pressure c. Creatinine d. Calcium Priority drug in myxedema coma: a. IV normal saline b. IV dextrose c. IV sodium levothyroxine NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c) Increase oxygen d) Give aspirin 325 mg A newborn was schedule to be place a scalp monitor, which of the following restrains should the nurse use: a) Arm restrain b) Mummy restrain c) Jacket restrain d) Leg restrains Patient with alcohol withdrawal is experiencing confusion, muscle weakness and tremors, which of the following can the nurse expect is a deficiency the patient has: a) Calcium b) Iron c) Thiamin d) B12 Patient with 50% burns which of the following the nurse should implement to prevent infection: (SATA) a)Isolate the patient b)check for hyperglycemia c)wash skin of intact areas frequently d)give prophylactic antibiotics 30 min before wound cleaning e)provide stuffed toys to burned pediatric clients Patient with adrenal insufficiency which of the following indicates that the treatment is effective: (SATA) a) Blood pressure increases b) Pulse rate increases c) Potassium decreased from 5.7 to 4.5 d) Fasting glucose increase from 62 to 98 NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ e) Urinary excretion of sodium increases Which of the following are symptoms of developing anorexia nervosa (SATA) a) Anorexia nervosa usually develops after age 10 b) Early dieting c) Tooth erosion and electrolytes imbalances d) Food rituals and obsessive behaviors e) Guilt or fear when eating d) Obsession with body weight and shape Which of the following should the nurse implement in a patient with Somogyi effect? a) increase the morning insulin b) decrease the morning insulin c) decrease the evening insulin NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d) eliminate the bedtime insulin Which of the following patients can be delegated to the UAP? (SATA) a) Assist the patient changing the stoma of an ileostomy bag b) Maintain abduction while changing the linens of a patient with skeletal traction c) feed the client recovering from aspiration pneumonia d) apply permethrin after bathing a client with pediculosis e) give chest compressions while the nurse ventilates de client A depressed patient demonstrates a sudden improvement of mood soon after beginning of antidepressive therapy. Which of the following is an appropriate response by the nurse? a) I’m glad you feel that way b) did you have visitors last night? c) that sounds like if you want to hurt yourself d) why do you think that things are going to get better Which of the following should the nurse assess in a patient with Gillian Barre? (SATA) a) check for forced vital capacity (FVC) b) check for use of accessory muscles for breathing c) encourage the patient to walk frequently d) assess for difficulty breathing e) blood pressure and cardiac rhythm The new graduate nurse is assisting a client with a wound evisceration. Which of the following interventions by the nurse requires intervention? a) cover the wound with sterile gauze socked in normal saline b) applies gentle pressure on the wound c) places the patient supine with the legs flexed NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ acid c. Niacin d. Riboflavin The client ordered Niacin complains of severe flushing when taking the drug. What intervention the nurse expects could prevent this undesired effect? a. Take Niacin with empty stomach b. Take with a hot beverage c. Take one aspirin one hour before Niacin d. Avoid aged cheeses Client received a dose of morphine one hour later the client refers pain improvement, but presents BP 100/60 and respiratory rate 10, O2 saturation 90%, pCO2 48 mmHg. What the nurse should do first? a. Raise the legs in Trendelemburg b. Administer oxygen by nasal cannula c. Encourage deep breath and cough d. Administer antidote flumazenil NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Monitor shows supraventricular tachycardia. Vagal maneuvers fail to slow the heart rate. Which medication the nurse anticipates will be used? a. amiodarone b. atropine c. lidocaine d. adenosine Expected finding in a client with important hyponatremia a. Constipation b. Bradycardia c. Headache d. Muscle spasms Interventions in a wound infected with VRS. SATA a. Keep stetoscope and thermometer in room b. Nurse removes gloves before leaving room c. Client is allowed to go to visit other room d. Keep door closed e. Tell UAP to limit time in room to less tan 30 minutes A client with Mycoplasma pneumoniae pneumonia is arriving from ED. What expects the nurse to be associated with this condition? a. Severe elevation of temperatura b. Severe hipoxemia c. Client requires isolation room d. Particulate respirator required Client is hospitalized with mumps. What is correct in the management of this condition? a. Room’s door should be kept closed b. Negative pressure room is required NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Client wears surgical mask when leaving the room for procedure d. Nurse immune to mumps must wear surgical mask when entering room Which pregnant woman see first: a. 8 weeks with nausea and vomitss b. 20 weeks preeclampsia BP 130/80 c. 30 weeks tender and rigid uterus d. 39 weeks contractions every 10 minutes The nurse is caring of a male client just diagnosed with lung cáncer; but his wife requests to withold this information from the client. When the client asks the nurse: “Is it true that I could die from this disease? Based in which ethical principle the nurse should answer? a. autonomy b. benefíciense c. justice NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ A client with Parkinson’s and risk for falls is being discharged home. Which caregiver’s statements require correction? SATA a. I will place safety bars in shower b. I will buy a low toilette chair to facilitate his bath travels c. I will restrict him from resting during the day d. I will ask his case manager to arrange a home health nurse to visit for follow ups e. I will ask the doctor a prescription for sedative to make easier taking care of him A male client is attended in ER for injuries inflicted by his wife. The client stated “I deserve it because I provoke her anger”. Which nurse’s statement is correct? a. Perhaps I could understand that, but first I’d like to know why you think are responsible of provoking your wife’s anger? b. This is something very frequent in married couples c. I am going to talk with the doctor about your situation, to see if he can help d. You should be more compliant with your wife Place in order how to measure the orthostatic pressure: Record BP Seat client for 3 minutes Keep client supine for 510 minutes Ask client to stand for 3 minutes Which ABG is expected in a client with severe Guillan Barre? a. pH 7.47 pCO2 25 HCO3 24 b. pH 7.25 60 26 c. pH 7.50 49 38 NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. pH 7.15 28 18 Which of the following scenarios the nurse considers is necessary referral to the hospital’s ethics committee? a. Client who wants to be DNR and the family oppose b. Terminal client who wants to donate a kidney to a sibling but it is not compatible c. Pregnant woman who 8 weeks after in vitro fertilization bears 6 viable embryos but only one to have two babies. d. Eighteen year old male who refuses chemotherapy for Hodgkin lymphoma Interventions to prevent falls in a confused elder client: SATA a. Connect to a bed alarm b. Place near nurse station c. Raise side rails to prevent getting out of bed d. Restrain hands NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ e. Leave a night light on The nurse enters an unoccupied room and finds a fire in the garbage can. What should the nurse do first? a. Close the doors b. Turn off the oxygen valve c. Rescue the clients d. Activate the alarm A client going for a mastectomy has already signed the informed consent. When the nurse is proceeding with the pre operatory checklist, the client confesses she is not sure this is the kind of surgery convenient to her. What should the nurse do? a. Reassure everything will be OK b. Call the surgeon c. Cancel the surgery d. Notify the case manager of what is going on Which of the following are correct asepsis measures at a hospital? SATA a. Using a biohazard bag to dispose an old gauze with dry blood b. Using double bagging when cleaning the room of a client in contact isolation c. Placing all the hospital garbage in biohazard bags d. Cleaning body fluid spills with a diluted bleach solution e. Wearing gloves to take blood pressure in clients with HIV Which of the following could be the cause of an acute pancreatitis? a. Use of statins b. Cholelithiasis (gallstones) NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ fats with meals b. Lie down after meals c. Increase fluids with meals d. Have three to four meals daily A female client is going to an upper GI series (barium swallow) for hematemesis. Which of the following are pertinent assessments before the procedure? SATA a. Capacity to swallow b. Barium allergy c. Fasting d. Last menstrual period e. Allergy to shellfish f. Gag reflex g. Correct technic to transfer person with weak side from bed to wheelchair: a. Place wheelchair next to weak side b. Pivot the client from standing to wheelchair c. Keep your feet together to avoid flexing the lumbar spine d. Maintain your arms extended to keep client far from your body NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Client in labor has 5 cm of cervical dilation. In which stage and phase is the client? a. First stage, active phase b. Second stage, transition phase c. First Stage, transition phase d. Second stage, latent phase The nurse is caring a client with lung cancer and superior vena cava syndrome. The nurse expects to find the following signs: SATA a. Pink frothy sputum b. Fever c. Edema of face and hands d. Neck vein distension e. Crackles in both lungs f. Headache and lethargy The nurse is caring of a client with fever, sore throat, erythematous rash, and strawberry tongue. The nurse is aware that the symptoms correspond to scarlet fever and a possible complication of this condition can be: a. Bacterial endocarditis b. Meningoencephalitis c. Acute glomerulonephritis d. Hepatic abscess The nurse observes an LPN taking care of a child with RSV. The nurse intervenes if the LPN: a. Doesn’t allow the child leaving the room b. Leaves the stethoscope in the room after taking BP c. Wear a surgical mask before entering the room d. Remove gloves before leaving the room NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ What are risk factors for breast cancer? SATA a. Family history b. History of breast trauma c. Use of oral contraceptive d. Pregnancy at early age e. Replacement hormonal therapy f.Early menarche The new graduate nurse is asking help to the charge nurse to introduce a urinary catheter because has not enough practice. The charge tells her to find a solution without asking for help. The charge nurse is demonstrating which style of leadership? a. Autocratic, b. Democrat ic, c. Laissez- faire, d. Situational The nurse is evaluating the parent’s understanding about the prescription of methylphenidate to their 10 years old male child. Which statement tells the nurse that more teaching is needed? a. We will offer him finger foods instead of complete meals b. We will leave the bigger dose before going to bed c. We expect the doctor will discontinue the medication while on school vacations d. We will call the doctor if our child complains of rapid heart beats NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ f. Keep client sedated to avoid stress ulcers What is correct in relation with pre-fill epinephrine (Epipen®): a. Administer subcutaneous in lateral thigh b. Protect from heat and sunlight c. Remain resting after administering the shot d. Recap carefully before discarding the syringe What condition the nurse should suspect in an oncologic client with sudden onset of lethargy, vomits, headache, serum sodium 122 mEq/L, and significant weight gain during last 24 hours? a. Metastatic brain cancer b. Brain hemorrhage c. Inadequate ADH production d. Dehydration secondary to chemo induced emesis Which client should the nurse see first when working in a prenatal care office? a. 34 weeks, bilateral pedal edema b. 28 weeks, intense heartburn c. 32 weeks, didn’t show at two last appointments d. 20 weeks, non-painful uterine contractions What should the supervising nurse correct when new graduate nurse administers an enoxaparin shot? a. Uses 26G needle b. Administered two inches away from navel c. Expels the bubble of air in syringe d. Makes pressure on skin after shot What should raise nurse concern in a client taking lithium carbonate? a. Client is taking the lithium with grape juice b. Client observes increment of urinary output while in lithium NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Client has intestinal flu, with several liquid bowel movements d. Client has lithium blood level 1.2 mEq/L Which initial intervention should thake the nurse in conscious client showing the following ECG: a. Place client in Trendelemburg position b. Administer IV lidocaine as per protocol c. Ask client to bear down or cough d. Massage both carotid arteries Client to see first from four burned clients: a. Partial thickness burn on 50% BSA b. Client walking into in ED for electrical burn on chest 30 minutes ago c. 5 % burned BSA including singed beard hair d. Full thickness burn on both legs and genitals NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ ABG to expect in panic attack a. pH 7.50 pCO2 25 HCO3 24 b. pH 7.15 6 0 26 c. pH 7.50 4 9 38 d. pH 7.15 2 8 18 Calculation: Ordered: 40 mg/kg/day to be divided every 8 hours Available: suspension 250 mg/5 ml Weight 18.18 Kg Round to nearest whole number 4.848 = 5 ml Calculation - Nurse measures infant client’s I & O during 8 hours shift: - Dry diaper weighs 7 g. Two diaper changes: one 36 g, other 32 g. Nasogastric suction 54 mL, JP drainage 24 mL. Calculate output in 8 hours. Bipolar client screams to other client: “stop looking at me”, “I hate everybody looking at me”. What it the nurse’s best intervention? a. Escort client to a quiet place b. Place the client in seclusion room c. Take the client to play soccer with other clients NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ The infant diagnosed with Hirshprung’s disease is in the preoperatory period of correcting surgery. Which finding requires immediate report to the surgeon? a. Distended abdomen b. Explosive BM with fetid stools c. Ribbon like stools d. Black tarry stools. Infection control in client with pneumonic plague: a. Airborne b. Contact c. Droplets d. Standard only What is the confinement date of a pregnant woman with last menstrual period May 28th? a. March 4 b. February 21 c. February 28 d. March 7 NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ The woman is in labor with 6 cm dilation, and station 1-. After three hours the cervix has dilated to 9 cm but the baby did not move to a lower station. What would the nurse do first? a. Call MD b. Assess for umbilical cord prolapse c. Assess for bladder distention d. Encourage client to walk MD has ordered an internal uterine monitor placed in a client who started labor. What the nurse has to assess first before carrying out the order? a. Fetal heart rate and looking for decelerations b. Mother blood pressure and blood type c. Cervical dilation and for broken membranes d. White blood cell count and for intact membranes Client is prescribed thiazide diuretic for hypertension. Which medical history requires immediate report to the prescriber? a. History of penicillin allergy b. History of hypocalcemia c. History of sulfonamide allergy d. History of asthma SATA about teaching after a hip replacement: a. Use prophylactic warfarin for 3 to 4 weeks when discharged home b. Checking for high INR c. Use prophylactic intramuscular heparin intramuscular while hospitalized d. Avoid activities implying adduction and less than 90 degree flexion e. Monitor for local signs of infections NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ SATA about female condom: a. Use water based lubricant b. Needs a prescription from a doctor c. Condom is slightly loose fitting on the cervix d. Men wear a condom while intercourse e. Decreases the risk of transmitting a STD SATA about treatment for hemodynamically unstable patient with atrial flutter a. Diltiazem b. Metoprolol c. Amiodarone d. Cardioversion NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ f. Tossed salad with oil and vinegar After the first 30 minutes of hemodialysis, which finding requires immediate follow up? a. muscle cramps b. 1 oF increase in temperature c. nauseas, one vomit d. blood pressure 90/50 mmHg Which hepatitis can be prevented with vaccines? SATA a. Hep B b. Hep C c. Hep A d. Hep E Select signs of toxicity in a client with preeclampsia receiving IV magnesium. SATA a. patellar reflex graded 1+ b. sedation, Glasgow 14 c. urinary output 50 mL in two hours d. pCO2 46 mmHg. e. blood level of Mg: 7 mg/dL Which stamen of older client suffering of insomnia requires clarification? SATA a. I take a yogurt before going to bed b. I read my Ebook in bed to become sleepy c. I walk at night to get tired and sleep better d. I don’t take naps during the day e. I keep the room temperature cool Select findings the nurse expects in a bipolar client in maniac phase. SATA NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ a. Weight gain b. Hypersomnia c. Anhedonia d. Irritability e. Flight of ideas Select adequate nursing care for a child with this rash, diarrhea, and fever. SATA a. Administer (Pepto-Bismol®) bismuth subsalicylate ordered for diarrhea b. Place the client in droplets precautions c. Keep the room door closed Nurse doesn’t need NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. to wear respirator if immune to varicella-zoster virus e. Keep the client’s nails trimmed Put in order steps to follow in case of air embolism Call rapid response team Administer oxygen Clamp central IV catheter Turn to left lateral and Trendelenburg What is the most important recommendation in client with chronic low back pain taking oxycodone? a. Wait until significant pain appears to take the pill, to avoid tolerance and addiction b. Increase the consume of vegetables, fruits, and whole grains c. Take a hot shower after the medication to relax muscles when in pain d. Any antidepressant ordered to you has to be discontinued while taking pain killers Select drugs to avoid in a client with close angle glaucoma, SATA a. Benztropine b. Pilocarpine c. diphenhydramine d. acetazolamide e. amitriptyline Common finding in the history of client with testicular cancer: a. Swelling and erythema in scrotum b. History of testicular trauma c. History of undescended testicle d. Exposition to heat in perineal area NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Which pregnant woman should the nurse assess first? a. 22 weeks pregnancy, uterus fundus at navel b. 16 weeks pregnancy with ballottement of uterus c. 28 weeks pregnancy with fever 101 oF and sore throat d. 18 weeks gestations who hasn’t felt fetal movements The client in dialysis has an AV fistula created in left upper extremity. The nurse assesses presence of a bruit on the fistula, but the left hand is found pale, cool, with sluggish capillary refill. The nurse communicates the findings to the provider suspecting: a. AV fistula thrombosis b. AV fistula infection c. AV fistula steal syndrome d. Upper extremity DVT NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Client is ordered ciprofloxacin for UTI. After four days takin the drug the client reports to the nurse pain and swelling above the right heel. What should the nurse recommend? a. Determine uric acid levels b. Recommend local cool compresses c. Recommend OTC NSAID d. Discontinue the Cipro and consult MD The nurse identifies the ECG as which alteration of the cardiac rhythm? a. Supraventricular tachycardia b. Ventricular tachycardia c. Ventricular fibrillation d. Torsade da Points Place in order of assessment techniques in abdomen: Palpation Inspectio n Percussio n Ausculta tion Pregnant woman HIV positive, dilation 6 cm, engagement 0. Already broken membranes. Contractions: one contraction every 23 minutes lasting 6070 NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ seconds. Intervention to choose: a. Teach mother to avoid bottle feeding and pacifiers b. Avoid vaginal digital explorations c. Initiate fetal intrauterine monitorization d. Make the mother walk on the hall The nurse documents this finding in newborn feet the first day of born: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ a.sacral melanosis b. hematoma c.rule out child abuse d. cyanosis Nurse observes the following skin lesion in a client living in New Jersey. Which intervention is adequated: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ a. Initiate contact precautions b. Request order for Elisa test c.. Document erythema multiform d. Report bulls eye lesion to provider What statement of client suffering insomnia requires more teaching? a. I have a yogurt before going to bed b. I avoid watching TV or working with computer before bed c. I walk for half an hour every night before bed d. I avoid napping during the day The needle is left in subcutaneous tissue o Decreases the frequency of hypoglycemia NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Risk factors for endometrial cancer. SATA: a. diabetes mellitus b. obesity, c. hormonal replacement therapy d. history of endometrial hyperplasia e. history of cervical cancer Insulin pump. SATA: a. Most commonly used in type I diabetes but can be used in type 2 b. The client avoids finger sticks to check glucose c. Make the diabetic treatment less expensive d. e. f abdomen for three days High fiber is indicated in the following diseases except: a. irritable bowel syndrome b. diverticulo sis c. Crohn’s disease d. hemorrhoid disease Main characteristic of histrionic personality disorder: a. superiority feelings b. attention seeking c. social isolation d. hypochondriasis Place in correct order the sequence to don PPE: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ 1.0 b. Blood sugar 38 mg c. White blood cell 8,000 d. Platelets 240,000 SATA nursing teaching in client requiring post op care cataracts surgery: a. Sneeze with open mouth b. Can return to work out routine c. Use shades when in daylight d. Use protectors on eyes while sleeping e. Report scratching sensation on eyelids Child with pediculosis (lice) correct: a- Don’t send to school until all nits (eggs) are gone. b- Place objects that can’t be washed in closed plastic bag for 15 days c- Treat also the house dog d- Apply insecticide to the carpet Select traction with the highest risk for infection: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Four bed positions: which one RN chooses for client with COPD. Dysplastic nevus (melanoma): ABCDE Client with Chron’s disease in adalimumab SQ every three weeks. Which finding the nurse give priority? a. 8 liquid bowel movements per day b. Abdominal right lower quadrant pain c. Temperature 101.2 oF NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. Fecaloid liquids coming from cutaneous fistula Nurse going to teach drug selfadministration for a new admitted old client. Most important preparation before starting interview: a. Assess vital signs b. Verify hearing aid function c. Provide written instructions d. Assess cognitive functions Asian origin client with round purpuric marks aligned in her back. The nurse asks for: NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ b. Schizophrenic client experiencing auditory hallucination c. Psychotic client presenting muscle stiffness and temperature 102oF d. Psychotic client complaining of impossibility to urinate during the last 10 hours Findings in client with pheochromocytoma. SATA a. Bradycardia b. Hypertensio n c. Paleness d. Anxiety e. Elevated VMA in 24 hours urine Which past medical history is etiologically related with a case of GuillainBarre syndrome? a. Abdominal surgery with general anesthesia b. Family history of muscle dystrophy c. Annual flu vaccine d. Recent travel to an area endemic of Lyme disease. Client with congenital hairy patch in lower back. Precaution the nurse should take? a. Avoid sulfonamides b. Monitor for recurrent urinary infections c. Avoid rubber gloves NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. Recommend isometric exercises for lower extremities Client admitted without pulse and body temperature 90 oF after undetermined time submerged in freeze waters. Nursing interventions. SATA a. Remove all wet clothing b. Administer warm electrolyte solution c. Administer warm moist oxygen through facial mask d. Administer strong alcoholic drink like brandy or whisky e. Warm and massage the extremities before the trunk f. Avoid CPR if no pulse but pupils are dilated Which of the following statements made by a 30 weeks gestation woman shows correct understanding of explanation of amniocentesis: a. Having a small leaking of fluid is expected for the first hours. b. The technique to be used during the procedure is all sterile c. After the puncture I should not have more than 1 contraction every 10 minutes d. The purpose of this study is to diagnose any chromosomic abnormality Correct delegation of the RN to the nursing student during administration of analgesic to a client with pain 7/10: a. Allow the student to administer IV morphine b. Make the student cosign the wasted portion of narcotic vial. c. RN gives the narcotic and explain the student the mechanism of action of it NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ d. RN prepares a nonnarcotic analgesic and asks the student to administer it What the nurse expect to hear from parents of a six months old child born with early onset Tay Sach disease a. Our child can already seat without support b. The child is not gaining weight because vomits frequently c. We need to talk very soft because otherwise the child jumps and extend arms d. Our child sweats very salty Home health nurse is visiting four clients. In which situations the nurse should intervene? a. A client with recent mastectomy is observing cutting her fingernails with scissors b. A client with neurogenic bladder is practicing bladder selfcatheterization without gloves c. The daughter of a visually impaired diabetic client leaves in the refrigerator several prefilled insulin syringes with the needle up, to be administered by the own client. d. The water heater in the house of a chronic diabetic client is set at 120 oF Which one of the following documentations protects the RN of being sued for negligence in case of infiltration of a vesicant chemotherapy in a client complaining of pain at insertion site? a. Dose and client identification was double checked with other RN b. Blood return observed in the IV tubing, infusion continued at a lower rate c. Pain and swelling observed in insertion site, IV discontinued, pressure applied for 3 minutes d. IV site observed swollen, infusion discontinued, IV cannula left in site, 3 ml of blood suctioned. NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ What type(s) of blood can receive a client AB negative? SATA a. O positive b. A negative c. B negative d. AB positive e. O negative Which postpartum client should the nurse see first? a. Client complains of breast pain, observed redness, lumps and very warm b. Client saturated perineal pad in two hours c. Client has fundus palpable 3 cm above nave, deviated to the right d. Client drained a gush of dark blood when standing up going to bathroom Client with iron deficiency anemia is ordered ferrous sulfate. How the nurse recommends taking the oral tablet? a. With yogurt to avoid nauseas b. One hour after meals c. With tomato juice d. With apple juice NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ Fluids recommended after tonsillectomy. SATA a. Cool water b. Cherry ice chips c. Cold black tea d. Apple juice diluted with water e. Orange juice Client in first stage, active phase of labor. Recommended position: a. Leg elevation b. Lateral c. Supine semi Fowlers d. Prone Nurse from outpatient ambulatory center has to float to E.D. What activity to assign? a. Assist provider doing a pericardiocentesis b. Triage clients with neurologic problems c. Complete the admission histories of elective surgery d. Help in the trauma unit What is doing wrong a client with rheumatoid arthritis? a. receive influenza vaccine while in treatment with glucocorticoids b. take folic acid supplement while treated with methotrexate c. take meloxicam on empty stomach d. shower with cold water to improve stiffness Client presents numbness on fingers and toes after thyroidectomy. Which nursing intervention is correct? a. Asses patellar reflex to rule out hypomagnesemia NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ b. Asses respiratory rate and lung sounds c. Administer ordered calcium gluconate IV d. Administer oxygen by nasal cannula at 2 L/min Alzheimer’s male client is affectively wishing happy New Year to all the nurses and other persons in the floor (it is March). Which intervention is the best? a. Thanks the client and wish happy New Year to him b. Show the date in the newspaper to the client c. Take the client to the lounge and offer him a snack d. Administer the ordered PRN sedative Nurse calls MD for patient with signs of fluid volume deficit and hypovolemic shock; MD recommend continuing monitoring and calling again in 1 hour. What nurse should do? a. Initiate IV Isotonic fluids through 18 G catheter at 75 ml/h and call in 1 hour b. Place the client in modified Trendelemburg and administer oxygen by nasal cannula c. Ask for nurse supervisor evaluation of the case NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ e. treated with oseltamivir The nurse knows that when the parent of a child obtains gratification and attention making the child look sick is known as: a. Malingering syndrome by proxy b. Hypochondria by proxy c. Munchausen syndrome by proxy d. Borderline personality disorder Infection precaution in patient hospitalized with rubella going to an x ray study a. Request x ray personnel previously vaccinate with MMR b. Prevent presence of pregnant women in the x ray waiting room c. Don the client with a regular surgical mask d. Postpone the x ray study until the client is out of airborne isolation A client is receiving IV infusion of 10 mEq/hour of potassium chloride, and is required going to an x ray. What should nurse do? a. Postpone the x ray until the IV infusion finishes b. Turn off the infusion and re start it when the client comes back c. Activate the IV pump secures and send the client to x ray with the UAP d. Accompany the client to x ray while receiving the IV potassium Signs and symptoms of infectious mononucleosis. SATA a. Purulent secretions and inflammation of tonsils b. High grade fever c. Increased neutrophil leukocytes count d. Enlarged and painful neck lymph nodes e. Swollen liver and spleen NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ MD orders 2 ml IM stat of a medication for an infant. How should the nurse carry out the order? a. Administer 2 ml IM in one vastus lateralis b. Administer 2 ml IM in ventral gluteal c. Administer 1 ml IM in both vastus lateralis d. Administer 1 ml IM in both dorsal gluteal Doctor orders magnesium hydroxide with aluminum hydroxide antacid PO every six hours, and the antibiotic amoxicillin with Clavulonate every 12 hours. How should the nurse administer the medications? a. Administer antacid every 6 hours and the antibiotic on hour after the first and third dose of antacid b. Consult with provider to change antacid for omeprazole NURSE NUR4650 NCLEX INFORMATION QUESTIONS WITH ANSWERS 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 GRADED A+ c. Consult with provider to change antibiotic to parenteral d. Administer antibiotic one hour before the first and third dose of antacid every 6 hours Food rich in vitamin A. SATA a. Bell pepper b. Egg white c. Sweet potatoes d. spinach e. apricots Signs and symptoms of left heart failure. SATA a. Crackles b. Dependent edema c. Hepatomegaly d. Neck vein distension e. Nocturia Complications of IV drug users. SATA a. Hepatitis C b. Thrombophlebitis c.Soft tissue abscess d. Overdose e.Hepatitis A Female 25 presented two episodes of abundant hematemesis. MD orders upper GI series. What should the nurse assessing the client evaluate? SATA a. Allergy to shellfish