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Category: NCLEX-RN Exam Practice Questions

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a homeless client brought to the emergency department with a diagnosis of heat stroke. Which key features of heat stroke would the nurse expect to note upon assessment?

Posted on April 20, 2022 by NCLEX.ME Nurse

a body temperature of 104.2°F heart rate of 116 and blood pressure of 78/52 heart rate of 49 and blood pressure of 152/90 heart rate of 120 and respiratory rate...

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client who just returned from a total hip arthroplasty. A student nurse is helping provide care for this client. Which action by the student nurse requires intervention by the nurse?

Posted on April 20, 2022 by NCLEX.ME Nurse

The student nurse floats the client’s heels with a pillow. The student nurse positions the client with the legs adducted. The student nurse applies the sequenti...

Physiological Integrity—Reduction of Risk Potential

The nurse is assessing a client with a stage 3 pressure ulcer. Which finding is consistent with this type of pressure ulcer?

Posted on April 20, 2022 by NCLEX.ME Nurse

Eschar is present on at least part of the wound. Full-thickness skin loss is present with undermining. Partial-thickness skin loss of the epidermis is present. ...

Physiological Integrity—Reduction of Risk Potential

The nurse is assessing a client with a diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation. Which finding would be expected for this client?

Posted on April 20, 2022 by NCLEX.ME Nurse

hypoxemia and hypocarbia hyperoxemia and hypocarbia hypoxemia and hypercarbia hyperoxemia and hypercarbia

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client with seizure disorder. Which statement regarding seizure precautions is correct?

Posted on April 20, 2022 by NCLEX.ME Nurse

Padded tongue blades should be at the bedside. Oxygen and suctioning should be at the bedside. Padding bed rails with blankets can help prevent injury. Restrain...

Physiological Integrity—Pharmacological and Parenteral Therapies

The nurse is training persons enrolled at a community center information session on administering naloxone (Narcan) to opioid overdose victims. Which information should the nurse include when teaching this group?

Posted on April 20, 2022 by NCLEX.ME Nurse

is administered by subcutaneous injection in the abdomen, thigh, or arm works instantly lasts 30 minutes can be administered by lay persons, provided they have ...

Physiological Integrity—Pharmacological and Parenteral Therapies

The ED nurse has admitted a client with suspected overdose of tricyclic antidepressants. Which signs and symptoms does the nurse expect to find in this client?

Posted on April 20, 2022 by NCLEX.ME Nurse

confusion dry mouth bradycardia dysrhythmias constricted pupils flushing of the skin

Physiological Integrity—Pharmacological and Parenteral Therapies

The clinic nurse is seeing a client who is taking duloxetine hydrochloride. When updating the client’s medical history, for which condition mentioned by the client would the nurse notify the health care provider?

Posted on April 20, 2022 by NCLEX.ME Nurse

recent worsening of insomnia unplanned weight loss of 6 pounds uncontrolled narrow-angle glaucoma removal of a benign skin cancer on the leg

Physiological Integrity—Pharmacological and Parenteral Therapies

The nurse is educating a client about MAOI and diet. Which dietary selection by the client indicates that the nurse’s teaching was effective?

Posted on April 20, 2022 by NCLEX.ME Nurse

egg-white omelet with a cup of yogurt baked chicken breast with green beans scrambled eggs with sausage and toast hot dog with sauerkraut, beans, and a fruit cu...

Physiological Integrity—Pharmacological and Parenteral Therapies

The mental health unit nurse is precepting a student nurse. Together they are caring for a client with schizophrenia. The nurse asks the student nurse to select the atypical antipsychotic from the client’s medication list. The nurse anticipates the student nurse to select which medication?

Posted on April 20, 2022 by NCLEX.ME Nurse

loxapine thioridazine risperidone haloperidol

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POSTS

  • The ED nurse receives a client who is bleeding profusely from a gunshot wound. Which action by the nurse will best help this client avoid complications of extreme blood loss?
  • The nurse is preparing to remove a client’s abdominal stitches as ordered by the health care provider. Which is the correct action by the nurse?
  • The nurse is caring for a client with veno-occlusive disease. Which manifestations of this condition would the nurse expect to find?
  • The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse’s dietary teaching?
  • The nurse comes upon a client in the clinic who appears to have experienced a sudden cardiac arrest. After retrieving the automated external defibrillator (AED), the nurse knows to use the equipment in the following manner, as per the American Red Cross. List the steps in order. Use all the steps.

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