Category: NCLEX-RN Practice Test
A client’s serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?
headache, confusion, muscle weakness, fatigue hypertension, muscle cramps, respiratory depression cardiac arrhythmia, tetany, tachycardia confusion, nystagmus, ...
A client with a past history of substance abuse and opioid addiction comes to the hospital after falling off a ladder. Upon assessment, the client reports his pain is a 9 out of 10 on the pain scale. The nurse should
chart “The client states his pain is 9/10.” chart “The client has a past history of addiction and is claiming he has severe pain.” ask the client if his pain le...
After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is to
close the door to the client’s room and return to check on him periodically. sit quietly with the client until he calms down. explain to the client that he shou...
A client comes into the dermatology office and shows the nurse a rash she is very concerned about. The nurse examines areas of skin on the elbows and scalp that are inflamed and covered with silvery-white scales. The nurse determines this is most likely
scabies. plaque psoriasis. urticaria. contact dermatitis.
A client is scheduled for a colposcopy. The nurse assists the client into which position?
Sim’s position supine position, with the head of the bed elevated 15 degrees left-side-lying position, knees to chest lithotomy position
A 22-year-old woman has just been diagnosed with myasthenia gravis. She asks the nurse what causes this disease. The most accurate response from the nurse is
“This is a disease caused by a chromosomal defect in utero. It is a structural abnormality in the chromosome that causes nerve cells in your body to become infl...
An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client’s infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic and tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects
dehydration. fluid volume overload. hyperglycemia. hypoglycemia.