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! 1 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 2 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 Which of the following clients have a formal indication for screening of hepatitis C carrier status. SATA a. A client who ate contaminated shellfish b. A client who received a blood transfusion before 1992 c. A client in long term hemodialysis d. A client who injected IV drugs only once many years ago e. A child born to a woman hepatitis C positive f. A extensively tattoed client NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 5 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Nonstress test in a 36 weeks pregnancy is reported as reactive. What the nurse anticipates should be required? a. The test has to be repeated for 20 minutes more b. An oxitocin drip will be initiates and the test is repeated c. Reassurance can be offered d. The client has to be prepared for C section Which of the following medical orders require clarification by the nurse? a. digoxin for a client with dilated myocardiopathy b. potassium chloride in D5W IV 10 mEq/hour for a client with K 2.8 mEq/L c. ampicillin for a client with active tuberculosis and fever d. colchicine for a client with podagra Client after 48 hours of hip arthroplasty presents sudden shortness of breath, cyanosis and chest pain. Which intervention should the nurse initiate first? a. Place the client in left lateral and Trendelenburg position b. Assessment of vital signs and lung auscultation c. Initiate administration of oxygen d. Request client admission to ICU NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 6 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Which of the following cohorting of infectious diseases is the correct? a. Client with RSV and client HIV positive b. Client with anthrax pneumonia and client with active hepatitis C c. Client with influenza and client with bronchiolitis d. Client with scarlet fever and client with epiglotitis The neonatal unit nurse notes that one newborn is grunting. What should do the nurse next? a. Sit the baby up b. Practice nasopharygeal suction c. Assess lung sounds d. Call the physician NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 7 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 10 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 11 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 The nurse has an order for enema for a client with moderate Alzheimer’s disease. When the nurse enters the room the client screams: “Get out of here. I don’t want you touching me”. What should the nurse do next? a. Ask for a physician order to restrain before administering the enema b. Force the client to stay still and insert the enema c. Leave the room and return in half an hour with the enema d. Explain the procedure to the client and the importanc of compliance NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 12 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ How the nurse assess pain in a 3yearold child after surgery? a. Ask the mother for pain clues b. Use the FLACCR scale c. Use the WongBaker face scale d. Assess heart and signs of sympathetic activation Most common side effect of azithromycin? a. Nephrotoxicity b. Jaundice c. Abdominal cramps and diarrhea d. Cross allergic reaction with penicillin NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 15 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 16 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 17 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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. 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 20 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ c- Colles’ fracture d- Chvostek’s sign Patient with alcohol withdrawal is experiencing confusion, muscle weakness and tremors, which of the following can the nurse expect is a deficiency the patient probably has: a) Calcium b) Iron c) Thiamin d) B12 Which symptom or sign should the nurse know is observed in a client on cocaine overdose? a. Seizures b. Bradycardia c. Respiratory depression d. Miosis NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 21 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Which intervention is correctly included in the care plan of a client with hypothyroidism? a. Increasing fluids intake b. Keeping the room temperature cool c. Offering meals high in calories d. Restricting dietary sodium NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 22 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 25 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 26 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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” c. “I won’t be attending group activities because I’m tired” d. “I can expect having a headache after the procedure” A diabetic client presents to ED with acute alcohol intoxication, confusion, agitation, systolic hypertension, and tachycardia. Which nursing intervention is the most important at this moment? a. Assess for other signs of alcohol withdraw b. Administer IV thiamine as per protocol c. Assess capillary blood glucose d. Administer benzodiazepine as per protocol NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 27 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ A client with syndrome of inappropriate antidiuretic hormone (SIADH), the nurse expects to find: SATA NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 30 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 31 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 32 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 35 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Which of the following findings needs to be reported after a cystoscopy? a. Pink colored urine b. Abdominal rebound tenderness c. Burning sensations when urinating d. Frequent urination What client should the nurse see first when receiving the shift in the medical surgical floor? NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 36 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ a. Meningitis with fever 102 oF b. Brain tumor, heart rate 94 bpm c. Spinal cord injury T3 and nasal congestion d. Hemorrhagic brain attack with headache Which client should the nurse see first in the psychiatric ward? a. Bipolar pacing and screaming with anger b. Schizophrenic having auditory hallucination and fear NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 37 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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? NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 40 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 41 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 nitroglycerin? a. Acetyl salicylic acid b. Warfa rin c. Tadalafil d. Bupropion Term gestation client, in active phase of labor, is already receiving epidural. NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 42 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ When nurse needs to intervene? a. Client resting flat on lateral position b. UAP helping patient to seat on bed border for a while c. UAP offering ice chips to patient d. Client requesting bed pan to void every hour Client with pressure ulcer stage III. Which of the following vitamins has to be increased in the diet to enhance healing: a. Zinc NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 45 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 46 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 47 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 50 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ juice d. Pudding What is true in aging process? a. Old people develop coronary artery disease b. Old people have increased risk of cancer c. Old people have less risk of UTI d. Old people need to sleep less hours than young people Nurse recommends for a Wilson disease client which item from the menu list? a. Liver b. Shrimps c. Turkey d. Mushrooms A safe crib for infants is one that has a) Drop side rails b) Separation of slats less than 2 3/8 inches (diameter of a soda can) c) Mobile with strings to stimulate senses NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 51 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ d) Bumper pads around rails. Patient with MI pain rated 8 out of 10 that was not alleviated with three doses of NTG. Which of the following the nurse should do: a) Give morphine b) Give more nitroglycerine NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 52 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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) NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 55 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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? NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 56 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ (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 d) check vital signs Which of the following indicates understanding of the teaching of a patient with a gastric bypass surgery? a) I will not lay down when I eat b) I will drink a full glass of water immediately after eating c) I will increase my intake of carbohydrates in my food d) I will eat six small meals daily NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 57 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Which of the following promotes weight gain? (SATA) a) eating large portions of foods b) slow metabolism c) poor exercise d) soft drinks NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 60 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 61 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 62 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 65 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ with MD: a. Allergy to penicillin b. Allergy to sulfas c. Creatinine 1.9 mg/dL d. Elevation of AST and ALT The nurse receives a client with hypertension, left heart failure, cough, fever and purulent sputums. The question has exhibits: glycemia 150, K 3.5, history of anaphylaxis with penicillin, alcohol use, among other info. Which of the following ordered drug must be questioned by the nurse? a. losartan 25 mg daily b. low sodium diet c. Cephacidal 1 g IV d. Acetaminophen 500 mg every 6 hours Correct delegation to UAP: a. Make pressure on a bleeding wound while nurse gets the MD b. Cut nails of hand and feet of type one DM c. Discharging client going to long term facility d. Colecting specimen from wound for culture NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 66 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Correct delegation for UAP: a. Provide basic CPR b. Checking for presence of sacral ulcers while bathing client c. Giving one Tablet of acetaminophen while nurse is too busy d. Ambulating client for first time after surgery NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 67 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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: NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 70 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 71 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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) c. Diabetes mellitus d. Smoking Which nutrient could help healing a burned client? a. Calcium b. Vitamin C c. Phytonadione NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 72 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ d. Vitamin D Risks factors for osteoporosis: SATA a. Menopause b. Aging c. Family history d. Smoking e. History of bone cancer NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 75 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 76 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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: NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 77 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 80 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ The nurse is teaching about the diuretic spironolactone to a male client with hepatic cirrhosis and ascites. Which statement is correct? a. This drug can make my breast enlarge b. I should increase the consume of dried fruits and bananas c. I can reduce my salt intake substituting for salt substitutes d. While on this drug I will need to have paracentesis more frequently Which of the following complaints the nurse expects from a client with prostatitis? a. rectal pain. b. macroscopic hematuria c. decreased urinary output d. urethral discharge Findings in superior vena cava compression. SATA a. facial edema b. crackl es c. headach NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 81 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ e d. confusio n e. neck vein distension f. history of lung cancer g. presence of a central venous catheter Patient to see first: a. boy with asthma attack, peak flow in 48% b. post-surgical client with unilateral leg edema with tenderness c. open fracture right arm covered by dressing stained with dark blood d. new onset atrial fibrillation complaining of fluttering in chest Client to see first of four hospitalized clients: a. 36 week gestation, bilateral pedal edema b. type 2 DM A1c 11% c. femur fracture with petechiae on chest d. pyelonephritis with WBC 16,000/mm3 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 82 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ Client to see first: a. Eight hours post-surgery, no urinary output since surgery b. IV NS at 100 ml/h and pink frothy sputum c. COPD, coughing up bright red blood with phlegm d. Severe pain in abdominal right lower quadrant Recommendations to prevent ventilator associated pneumonia (VAP). SATA a. Check stomach residual every 4 hours b. Keep head of bed elevated at 30 degrees c. Measure ET cuff pressure every six hours d. Check stomach residual every 4 hours e. Frequent mouth care with chlorhexidine NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 85 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 86 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 87 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ - 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 d. Explain the client that the hospital policies prohibit screaming this way Correct nursing intervention in stage one pressure ulcer on sacral area: a. Carefully massage the erythematous skin over sacrum to promote circulation b. Order the UAP to change position and apply collagenase cream with each diaper change c. Cover the sacral area with a transparent dressing d. Decrease pressure using a doughnut cushion while sitting on chair NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 90 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ A new graduate nurse is trying to pass a NG tube unsuccessfully, and the client is in distress. What should the charge nurse recommend when noticing the procedure was done incorrectly? a. The procedure has to be explain again to the client to promote collaboration b. The bed should continue in a flat position, but the tube should be lubricated with petroleum c. Ask the client extend the neck backward and swallow when the tube is felt in the throa d. Raise the head of bed to high Fowler and intent to introduce the tube again 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: NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 91 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 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 GRADED A+ 92 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 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 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 95 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ e. Atropine What is the best way of providing education to a 5-year-old, newly diagnosed with DM1 requiring lifelong insulin treatment? a. Let the child play with needless insulin syringes b. Explain the child in simple words the reasons to receive insulin in shots c. Show a video about self-administration of insulin d. Demonstrate insulin injections to parents, but in presence of the child What of the following precautions is correct in a client with rubeola? a. Nurse wears a surgical mask b. Client is placed in a negative pressure room c. Fit client with a particulate respirator when leaving the room d. Use gloves previous to administer oral medication The mother develops rubella at the end of pregnancy and gives birth. What should the nurse do with the child after birth? a. Leave newborn with mother in same room b. Isolate the mother and keep the newborn in nursery NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 96 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ b. Isolate mother and newborn in different areas c. Vaccinate the newborn as soon is born Recommendations for a client starting lisinopril: SATA a. Keep recumbent for a couple of hours after first dose b. Take hot showers to help circulation c. Avoid salt substitutes and use herbs instead d. Use OTC cough syrup if dry cough presents e. Continue using your oral contraceptive f. Increase vegetables intake like tomato and avocado Nursing recommendations for a woman taking clozapine and wanting pregnancy: a. Don’t discontinue suddenly because risk of rebound depression b. Talk with your MD to reduce the dose of the drug c. This drug causes granulocytopenia although has not been demonstrated to be teratogenic d. This drug is recommended for postpartum depression. Client is ordered Piperacillin with Tazobactam (Zozyn). Which client past NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ 97 NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+ medical history requires clarification with the prescriber? a. Allergy to sulfas b. Allergy to aspirin c. Allergy to cephalosporin d. Allergy to shellfish It is a client with heart failure and sodium restriction. Which food could be recommended? SATA a. Canned fruits b. Frozen vegetables c. Homemade pickles d. Tomato soup e. Low fat cheese NURSE NUR4650 NCLEX INFORMATION Questions with answers 100% correctly/verified Answers latest update 2023 GRADED A+