NCLEX Prep Questions
The nurse is preparing to administer oral medication to an 8-year-old child who is resistant to taking the medication. Which is the most effective statement made by the nurse that would encourage the child to take the medication?
"I have your medication. Swallow these please."
Urine output of less than __mL/hr is considered dehydration.
30mL/hr
___ is an organization that assists family members in sharing common experiences and increasing their understanding of alcoholism.
AI-Anon
A nurse on a labor and birth unit goes to the cafeteria for lunch with colleagues. One colleague begins talking about a newer staff member and says, "I heard that she does not have any labor and birth nursing experience." Which is the nurse's most appropriate action?
Discuss the colleague's behavior in private.
Child with RSV, what is the best way to prevent spread of microorganisms?
It requires droplet precautions so ONLY a face mask and shield are required.
When establishing policies or conducting studies, what should we do FIRST?
Look at published national standards.
A client who is on nothing-by-mouth status is constantly asking for a drink. Which nursing intervention is the most appropriate?
Offer the client frequent oral hygiene care.
Aggressive child with conduct disorder is admitted to the unit, what is most important?
Set limits
When caring for a client with head trauma, a nurse notes a small amount of clear, watery fluid oozing from the client's nose. What should the nurse do first?
Test the nasal drainage for glucose because CSF contains glucose. We only look for a halo sign when the liquid it blood tinged.
When preparing to use seclusion as an alternative to restraint for a client who has not yet lost control, the nurse expects to use a room with limited furniture and no access to dangerous articles. What should the nurse also consider as critical for the safety of the client?
a security window in the door or a room camera, safety is a priority in seclusion so you must be able to see the patient at all times.
Adverse effects of Lithium therapy for Bipolar Mania
nausea, diarrhea, tremor, and lethargy
Which night clothes would the nurse recommend for an infant with atopic dermatitis?
one piece with long sleeves-Atopic dermatitis results in pruritus. The infant's skin should be covered as completely as possible to keep him from scratching himself. Cotton is the preferred material because it allows the skin to breathe and moisture to evaporate.
A client with Alzheimer's disease is being treated for malnutrition and dehydration. The nurse decides to place them closer to the nurses' station because of their tendency to
wander
New mom is feeding a baby with cleft lip, what should we teach them?
Burn them frequently. Babies with cleft lip may not be able to suck efficiently so they take in a lot of air during feedings.
the benzodiazepine of choice for treating prolonged seizure activity
IV lorazepam
