NCLEX Prep Questions
Which strategy is the most effective for a nurse to use to reduce the number of children involved in automobile accidents who were not wearing seat belts?
Attend a school board meeting to advocate for classes teaching children seat belt safety.
Which of the following sounds should the nurse expect to hear when percussing a distended bladder?
Dullness
During a physical examination, a nurse asks a client to hold his breath briefly, and then uses a stethoscope to auscultate over his carotid arteries. Which finding is normal when auscultating over these arteries?
No sounds over either carotid artery
A nurse notes that a client has had no visitors, seems withdrawn, avoids eye contact, and refuses to take part in conversation. In a loud and angry voice, the client demands that the nurse leave the room. The nurse formulates a nursing diagnosis of Social isolation. Based on this diagnosis, what is an appropriate goal of care for this client?
The client will permit the nurse to speak with him for a 5-minute period by day 2 of hospitalization.
The nurse is taking care of a client who had a laryngectomy yesterday. To assure client safety, the nurse should give "hand-off reports" at which times? Select all that apply. change of shift change of nurses when new medication prescriptions are written when the nurse goes to lunch
change of shift change of nurses when the nurse goes to lunch
The nurse is receiving over the telephone a laboratory results report of a neonate's blood glucose level. The nurse should:
write down the results, read back the results to the caller from the laboratory, and receive confirmation from the caller that the nurse understands the results.
A client is admitted to the health care facility after 3 days of nausea, vomiting, and fever. Which nursing diagnosis takes highest priority for this client?
Deficient fluid volume related to nausea and vomiting
When implementing the planned care of a client with pneumonia, a nurse achieves proper placement of a tympanic thermometer probe in an adult's ear canal by which method?
Pulling the ear pinna back, up, and out
