Study guides, Class notes & Summaries

NCSBN TEST BANK - for the NCLEX- RN & NCLEX-PN, UPDATED EDITION, Complete 300 Questions & Answers with rationale 2023/2024 NCSBN TEST BANK - for the NCLEX- RN & NCLEX-PN, UPDATED EDITION, Complete 300 Questions & Answers with rationale 2023/2024 Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer i...

NCSBN NCLEX QUESTIONS WITH VERIFIED SOLUTIONS A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? The nurse assists with the reinforcement of information about breast self-examination to a group of college students. A female student asks when to perform the monthly exam. The appropriate reply by the nurse should include which statement? T...

It is the start of the shift and the nurse has just finished listening to a report on four clients. Which client should the nurse assess first? A. A client with a diagnosis of an acute traumatic brain injury who has a blood pressure of 88/58 B. A client with a diagnosis of a concussion and who doesn't remember the motor vehicle accident C. A client diagnosed with viral meningitis and has signs of meningeal irritation D. A client diagnosed with generalized seizures who complains of a heada...

Advance directives are required for all clients (T/F). - Answer False, An advance directive is a legal document that indicates client preferences for treatment or life-saving measures. Clients are encouraged, but not required, to have an advance directive. The nurse has an obligation to carry out the health care provider's written orders, whether the orders are appropriate for the client or not (T/F). - Answer False, The nurse should never carry out a health care provider's order that i...

A Native-American chief visits his newborn son and performs a traditional ceremony that involves feathers and chanting. The charge nurse tells a colleague, "I wonder if he has any idea how ridiculous he looks - he's a grown man!" This statement is an example of which non-therapeutic approach? Egocentrism Ethnocentrism Racism Discrimination - Answer Discrimination Rationale: In this question, the nurse is reacting to the chief's behavior, which is an example of prejudice. Prejudice...

The nurse is caring for a pregnant woman who is diagnosed with pregnancy induced hypertension (PIH) and is receiving magnesium sulfate intravenously. During assessment of the client, the nurse notes that respirations are 12, pulse and blood pressure have dropped significantly, and the eight-hour urine output is 200 mL. What should the nurse do first? Administer calcium gluconate Call the health care provider immediately Perform additional assessments Discontinue the magnesium sul...

Why do nurses need a license? - Answer To protect the public Where are specific nursing practice rules found? - Answer State nurse practice acts What establishes and provides authority to the state board of nursing? - Answer State government Advancing technology and increasing service providers necessitated the need for regulation of nursing practice. - Answer true The United States Constitution includes provisions to regulate nursing practice. - Answer false New Je...

The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the 1. first stage of labor who has an oral temperature of 99.7° F (37.6° C) 2. first stage of labor whose contractions are occurring every 30 seconds 3. second stage of labor who has respirations of 26 4. second stage of labor whose contractions are lasting for 60 seconds - Answer 2. first stage of labor whose contractions are...

the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - Answer A. Nasal congestion why? removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion further interferes with the airway. A client with cancer is a, admitted to the oncology unit. Stat lab values re...

An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40 minutes. In mL/hour, what will be the setting for the IV delivery system? - Answer 300 Using ratio proportion:First, convert 22 pounds to kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40 minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40 = 300 mL/hrUsing dimensional an...

The nurse is assisting with the admission of a client who is scheduled for a colon resection. Which of the following statements made by the client would be most important for the nurse to clarify? - Answer I usually have a few glasses of wine in the evening. Enoxaprin - Answer comes in a prefilled syringe from the manufacturer. To ensure complete medication delivery, the air bubble should not be expelled prior to unsection. The nurse is caring for a client who is scheduled to have an...

A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? 1Write down potential solutions to the problems today by shift's end 2Add this concern to the agenda of the next unit meeting 3Assure the staff nurse that the complaint will be investigated 4Explore for further identification about the nature of the problem - Answer 4 Explore for further...