BoardVitals NCLEX Prep RN

Which of the following describes the purpose of a nerve block for pain relief? SATA

-For short-term pain management after surgery -To use as a type of anesthesia for a minor surgery

A nurse is assessing a client who is in the resuscitation phase of a deep partial-thickness burn over 40% of his body. Which of the following findings should the nurse expect during this phase of the burn injury? SATA

-Dyspnea -Hyperkalemia -Hyponatremia

A nurse is teaching a female client who is starting nicotine replacement therapy. Which of the following statements by the client indicates an understanding of the teaching?

"I should avoid eating right before I chew a piece of nicotine gum."

A nurse is providing teaching to a client who has Graves' disease and is to add propranolol to her medication regimen. Which of the following information should the nurse include?

"Take your pulse before each dose of medication." *Propranolol can cause bradycardia. If there is a significant change in the pulse rate, the client should withhold the dose and consult the provider.

A nurse is teaching a client who has osteoarthritis of the hip and knee about self-management of the disease. Which of the following statements should the nurse include in the teaching? SATA

-"Apply heat to your joints to alleviate pain." -"Avoid bending your joints to the point it becomes painful when exercising." -"Use a firm mattress for sleeping."

A client is undergoing a cardiac catheterization to evaluate the amount of blockage present in the client's coronary arteries. Which of the following interventions would the nurse perform after the procedure? SATA

-Apply pressure to the insertion site and monitor for bleeding -Check pedal pulses and document skin color -Administer analgesics for pain control

A nurse is developing a plan of care for a client who is scheduled for surgery the following day. Which of the following statements should the nurse incorporate into the plan? SATA

-Breakthrough pain can occurs in the postoperative client. -Pain level and pain tolerance can be assessed using a sale from 0 to 10.

A nurse is caring for a client who is twelve hours postoperative following a thyroidectomy. Which of the following findings indicates the client might be experiencing thyroid storm? SATA

-Hypertension -Abdominal pain -Mental confusion

A nurse is providing teaching for a client who has hypothyroidism and a new prescription for levothyroxine. Which of the following information should the nurse include in the teaching? SATA

-Laboratory testing will be required while taking this medication. -Take the medication on an empty stomach *Serum thyroid-stimulating hormone (TSH) levels are used to monitor the effectiveness of the medication. The medication should be taken on an empty stomach to promote absorption.

A nurse is caring for a school-age child who has juvenile idiopathic arthritis and is returning to school. Which of the following instruction should the nurse include regarding successful school attendance and performance? SATA

-Make arrangements to have a set of books at school and a set at home -Involve the school nurse in medication management. -Request an individualized education plan for patients that require extensive modifications for school.

A nurse volunteers for community disaster response. Which of the following symptoms may indicate stress when working in response to a disaster (SATA)?

-Physical symptoms of tremors, nausea, and a headache -Reluctance or refusal to leave the disaster scene while working -Difficulty making decisions

A man is admitted to the hospital with complaints of lethargy, polyuria, and fever over one week. During your health history interview, it is revealed that he has a history of diabetes and has been non-compliant with his diet. You proceed to the physical assessment and find a non-stageable ulceration to the bottom of his right foot. When you question him, he says, "Oh, I stepped on a sharp rock when I went swimming in the lake a couple of weeks ago and forgot about it." What points would be important to include in the client education part of your nursing care plan? SATA

-Regularly check blood glucose levels -Daily check skin integrity thoroughly -Remove concentrated sweets from diet

A nurse is caring for a 26-year-old female client with a recent history of international travel, fever, and suspected H1N1 infection. The nurse understands that which of the following symptoms are consistent with H1N1 infection? SATA

-Shortness of breath -Diarrhea -Persistent cough

A nurse is reviewing the medical record of a client who has cirrhosis. Which of the following medications should the nurse expect the provider prescribe? SATA

-Spironolactone -Propranolol -Lactulose

A nurse is assessing a client who has rheumatoid arthritis. Which of the following manifestations should the nurse expect? SATA

-Swelling of bilateral joints -Ulnar deviation -Morning joint stiffness

A nurse in a provider's office is planning teaching for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole. Which of the following should the nurse include in the teaching plan? SATA

-The medication can increase the risk for infection. -Monitoring of triiodothyronine (T3) levels will be required. -Take the medication of the same time every day.

A client with uterine prolapse is undergoing assessment. Which of the following symptoms will the nurse expect?

-Urinary incontinence -Backache -Urine retention -Constipation

A nurse receives reports at the beginning of his shift. Which of the following clients should he assess first?

A 50-year-old female client with uremic pericarditis and a pericardial effusion with a blood pressure of 82/60 mmHg and jugular venous distension

What type of colostomy is used for the management of anorectal malformation in a neonate?

A divided descending colostomy *Divided descending colostomy is also known as a double-barreled colostomy. This type of colostomy completely diverts fecal contents, provides bowel decompression, and preserves the distal colon for surgical repair at one or two months of life.

A nurse in the emergency department is assessing a client with diabetes who was transported from home for evaluation of mental status changes and vomiting. A fingerstick glucose level is 380 mg/dL and urine dipstick is positive for ketones. Which of the following initial interventions is anticipated by the nurse?

Administer 0.9% saline solution at 10 ml/kg

A nurse is caring for a client who reports morning sickness at 7 weeks' gestation. Which of the following is the appropriate nursing response?

Advise the client to consume a snack high in carbohydrates and/or protein when she awakens.

The nurse is preparing to teach a client with peptic ulcer disease about a diet that should be followed after discharge. The nurse should encourage the client to eat which of the following?

Any food that are tolerated *Diet therapy for ulcer disease is controversial. There is no scientific evidence that diet therapy promotes healing. Most clients are instructed to follow a diet they can tolerate.

A nurse is assessing a client who is taking oral amiodarone to treat atrial fibrillation. Which of the following findings should the nurse identify as an adverse effect of oral amiodarone?

Ataxia *The nurse should identify that ataxia, involuntary movements, peripheral neuropathy, and tremor are all neurological adverse effects of oral amiodarone.

The nurse is teaching a client about a new prescribed medication, atenolol (Tenormin). The nurse should instruct the client to:

Avoid sudden discontinuation of the drug

A nurse is caring for an adult client who was admitted with manifestations of shock. The client has a prescription for an afterload-reducing medication. They nurse should recognize that this medication is administered for which of the following types of shock?

Cardiogenic

A nurse is caring for a client in a physician's office who has new laboratory test results that reveal total cholesterol 230 mg/dL, HDL 30 mg/dL, and LDL 156 mg/dL. The client states, "I am so upset about the results." Which of the following would be the nurse;s most appropriate response?

While you cannot control some risk factors, there are others that you can control.

A nurse is caring for a client with diabetes and stage 2 hypertension with a new prescription for metoprolol (Toprol XL). The client takes feurosemide (Lasix) and ramipril (Altace). Which of the following is an expected therapeutic effect of metoprolol?

Decreased heart rate *The effect of beta blocker medications include decreased heart rate, contractility, and afterload, leading to decrease in blood pressure.

A nurse is caring for a client who was admitted to the emergency department with hematemesis. Which of the following is the priority nursing intervention?

Establish IV access with a large-bore IV

A nurse is providing education about dietary recommendations for a client with irritable bowel syndrome. Which of the following menu choices reflects client understanding?

Fish, pita bread, and beef broth

A nurse is caring for a client admitted with an exacerbation of congestive heart failure. The nurse administers the prescribed intravenous furosemide. Which of the following indicators demonstrates efficacy of this therapy?

Flatness of the jugular vein

A nurse is providing care to a geriatric client. Findings on assessment include oliguria, elevated hematocrit, and falling blood pressure. these symptoms are consistent with which of the following conditions?

Fluid volume deficit

A nurse is providing education to a client who has just had her first prenatal visit. Which of the following should be included as part of routine education about self-care measures for a pregnant client?

Get a flu shot during autumn or winter to protect against influenza infection.

The nurse is assessing a newly admitted client. Findings include a full bounding pulse, moist crackles, distended peripheral veins, and polyuria. Which of the following conditions is associated with these findings?

Hypervolemia

A nurse is caring for an older adult client who has injuries resulting from intimate partner violence. Which of the following actions is the nurse's highest priority?

Inform the client about the location of shelters or safe houses.

A charge nurse on a pediatric unit is reviewing the laboratory results for four preschooler. Which of the following values should the nurse report to the provider?

Iron 38 mcg/dL *This iron level is below the expected reference range for children, which is 50 to 120 mcg/dL, and should be reported to the provider.

A nurse is assessing a preschooler who has heart failure. Which of the following manifestations should the nurse expect?

Orthopnea

A nurse is caring for a client who is recovering after a myocardial infarction. When advising the client to exercise gradually and slowly increase the distance walked, which vital sign should the nurse teach the client to monitor determine whether to increase of decrease exercise levels?

Pulse rate *The client who is on a progressive exercise program at home after an MI should be taught to monitor heart rate. The pulse rate is expected to increase with exercise but should not increase more than 25 bpm above baseline.

A nurse is caring for an elderly client with rheumatoid arthritis. The most effective intervention for relieving stiffness in this client is which of the following?

Taking a warm shower or bath in the morning

Which of the following principles govern the management of radiation contamination is a disaster?

Treat victims at the greatest distance from the source first.

A nurse is caring for a client who is postoperative Roux0en-Y gastric bypass surgery for management of morbid obesity. The client will most likely require a multivitamin with additional supplementation of which of the following to avoid a frequent complication of the procedure?

Vitamin B12