Winter 24 NCLEX Review B

Using Naegle's Rule, calculate the due date: First day of LMP is 6/20/24

Your client with heart failure is prescribed furosemide. You will monitor for damage of which kidney structure?

Your client with severe burns on fluid resuscitation, what assessment would indicate adequate fluid volume?

Your patient is on Tobramycin every 24 hours for endocarditis. Which of the following finding is most concerning?

You auscultate the apical heart rate before giving digoxin and note a heart rate 48 beats/minute. What will you do next?

The nurse should recognize that all of the following are manifestations of Cushing's syndrome except:

A patient with kidney disease is receiving high-dose corticosteroids. What is the most concerning assessment:

Your patient is experiencing floaters in their eyesight, peripheral sight closing in like a curtain and flashes of light

Your patient is being induced at 40 1/7 wks. She is on Pitocin 10un/hr. You see the strip below, what will you do first?

Which of the following tasks are appropriate to delegate to a UAP?

Which of the following clients should the nurse identify as being at greatest risk for skin breakdown?

When you witness an informed consent, you know that you are attesting to the following:

What patient will you see first?

You monitor aPTT for patients on heparin & a normal aPTT is 1.5-2.5X the normal clotting time

In immediate postoperative period following a partial laryngectomy. Which should the nurse assess first?

Shortly before you patient delivers her baby the dad asks, "Can I cut the cord?". What is the appropriate response?

You teach nutrition to parents of a child with cystic fibrosis (CF). The following response indicates an understanding.

You are triaging clients. Which of the following clients should the provider care for immediately?

You know patients can benefit from Heparin therapy if they have the following conditions except for:

Pt w/diabetes insipidus receiving vasopressin. You identify the following that the medication is not yet therapeutic

When educating your patient on Sodium polystyrene sulfonate, you explain this medication will do what?

You identify the areas for correct hear rate auscultation below. Which is correct?

Your 1 year old patient is due for their Digoxin. The apical pulse is 102 bpm. What is the nurse's best action?

Which car safety device would be used for a child who is 7 years old and 4 feet tall?

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

38 weeks and has large amount of painless, bright red bleeding. B/P 98/52 HR 118/min RR 24. Priority nursing action?

A client with several broken ribs will most likely to experience what type of acid-base imbalance?

With a blood glucose of 432 mg/dL, you know the client is at risk for developing which type of acid-base imbalance?

Your patient is on Heparin therapy. All of the following are possible signs of heparin toxicity except for:

Which of the clients can be discharged to free up bed space in a busy unit?

Pt w/severe burns is receiving IV fluid resuscitation. You identify a decrease in the following shows adequate volume

The nurse teaches the patient receiving atropine to expect which side effect?

Expected or unexpected? 18 month old, feeds self with fingers and tries spoon but struggles using the spoon

You are caring for a child who has Addison's disease. Which of the following actions should you take?

You provide instructions to a child with sickle cell disease to prevent a sickle cell crisis. This shows understanding:

You are a home health nurse teaching the client on G-Tube feedings. All of the following statements are correct except:

The following medications are possibly toxic to the kidney and should be monitored closely except for:

5-year-old in traction following a fractured femur. You know the most appropriate activity to provide the child is this