NCLEX-PN

A primary health care provider prescribes hydromorphone hydrochloride, 0.5 mg intramuscularly stat, for a client in pain. The medication label states hydromorphone hydrochloride 2 mg/mL. How many milliliters (mL) will the nurse prepare to administer to the client? Fill in the blank. Record the answer to two decimal places.

0.25mL

The nurse is monitoring several older adults for adverse drug effects. Which client requires closest monitoring for drug toxicity?

A client who consumes a high-carbohydrate, low-protein diet

The nurse is preparing a list of client care activities to be done during the shift. For which of the following clients would the nurse instruct the assistive personnel (AP) to use an electric razor for shaving? Select all that apply.

A client with thrombocytopenia A client receiving an antiplatelet medication

The nurse is assisting in caring for a client with a large penetrating wound to the abdomen and several smaller wounds containing shrapnel. The nurse plans for which appropriate nursing interventions? Select all that apply.

Apply pressure to bleeding wounds Obtain blood for a type and crossmatch Apply supplemental oxygen as ordered Establish intravenous access with 2 large-bore catheters

The nurse has reviewed the primary health care provider's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. The nurse prepares to do which

Collect a 24-hour urine sample.

A client has a history of seizures. The primary health care provider has prescribed amitriptyline three times daily. The nurse seeks clarification of the prescription, knowing that the client is at risk for injury because of which adverse effect of the amitriptyline?

Decreased seizure threshold

The nurse is assisting in developing a plan of action for the emergency department in the event of an internal fire. Which would the nurse include in the plan? Select all that apply.

Direct ambulating clients to walk to a safe location. Remove all clients from danger before attempting to extinguish the fire. Move bedridden clients away from the fire area by use of beds or stretchers

The health care team is performing high-quality cardiopulmonary resuscitation (CPR) on a client in cardiac arrest. Once the client is attached to a monitor, it is determined that a shock is not advised. CPR is continued, and the nurse determines what additional action would be taken next by the health care team?

Prepare to administer epinephrine.

The nurse is caring for a client following craniotomy who has a supratentorial incision. The nurse reviews the client's plan of care, expecting to note that the client would be maintained in which position?

Semi-Fowler's position

Penicillin V 250 mg orally every 8 hours, is prescribed for a child with a respiratory infection. The child's weight is 45 pounds. The safe pediatric dosage is 25 to 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child?

The dosage is within the safe dosage range.

The nurse is caring for a non-English-speaking client. Best practices for client safety and quality of care incorporates which actions by the nurse? Select all that apply.

Use interpreters who are familiar with health care, Avoid the use of relatives as interpreters to prevent misinterpretation, Use dialect-specific interpreters who are the same gender if possible, Become familiar with common health care words used in the client's language.

Which factors would the nurse consider when developing a critical incident stress debriefing (CISD) plan for employees of a level 1 trauma center? Select all that apply.

CISD promotes effective coping strategies. CISD promotes effective coping strategies. CISD may help prevent posttraumatic stress disorder. CISD is only one component of a much larger stress management program

A client receiving morphine by the epidural route complains of itching. The nurse would anticipate which prescription to relieve the itching?

Low dose infusion of naloxone

An emergency department nurse is caring for an older client who may have been physically abused by her son. In planning care for the client, which is the priority nursing action

Notify the social worker to investigate the situation.

The emergency department nurse is caring for a child brought to the emergency department following the ingestion of approximately one half bottle of acetylsalicylic acid (aspirin) 10 minutes before arrival. Which would the nurse anticipate as the likely initial treatment?

The administration of activated charcoal

The nurse is assisting in developing goals for the postpartum client who is at risk for infection. Which goal would be appropriate?

The client will be able to identify measures to prevent infection.

A postpartum client has lost 700 mL of blood. The vital signs indicate hypovolemia and the uterus remains atonic in spite of treatment. The nurse assisting in caring for the client understands what is necessary in this situation and prepares the client for which treatment?

Emergency surgery

The nurse is caring for a client receiving morphine sulfate intravenously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?

Encourage the client to cough and deep breathe.

The nurse is caring for a client with a tibial fracture who was just diagnosed with acute compartment syndrome (ACS). Which procedure does the nurse anticipate the surgeon will perform?

Fasciotomy

The nurse is caring for a client diagnosed with Paget's disease. The nurse plans care knowing that this condition usually affects which bones? Select all that apply.

Femur Skull Tibia Vertebrae

The nurse is assisting in preparing a plan of care for a client diagnosed with acquired immunodeficiency syndrome (AIDS) who has nausea. Which dietary measure would the nurse most likely include in the plan?

Foods that are at room temperature

The nurse is planning for the nursery room admission of a large-for-gestational-age (LGA) infant. In getting ready to care for this infant, the nurse prepares equipment for which diagnostic test?

Heel stick blood glucose

The nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which would the nurse include in the plan of care while the client is taking this medication?

Monitor bowel activity.

The nurse assists in creating a nursing care plan for the child with an arm cast and would include which interventions in the plan? Select all that apply.

Instruct parents to keep the cast clean and dry. Instruct parents to keep the cast clean and dry. Instruct the child not to stick objects down the cast. Notify the registered nurse (RN) immediately if circulatory impairment occurs

The nurse is reviewing a plan of care for a client with Addison's disease. The nurse notes that the client is at risk for dehydration and suggests nursing interventions that will prevent this occurrence. Which nursing interventions are appropriate components of the plan of care? Select all that apply.

Monitoring intake and output Monitoring for changes in mental status Monitoring for changes in mental status