NCLEX RN SAMPLE TEST

Prior to a caesarean delivery, the client is treated for abruptio placenta. The nurse cares for the client during the postpartum period. Which symptom is suggestive of disseminated intravascular coagulation (DIC)?

The 4-week-old infant with symptoms of pyloric stenosis is brought to the outpatient clinic by the parent. Which statement does the nurse expect the parent to make about the infant's symptoms?

The health care provider(HCP) prescribes cimetidine 300 mg PO qid for an elderly client. The nurse instructs the client about the medication. Which statement, if made by the client, indicates further teaching is needed?

The teenager comes to the clinic reporting fatigue, a sore throat, and flu-like symptoms for the previous 2 weeks. Physical exam reveals enlarged lymph nodes and temperature of 100.3°F (37.9°C). Which statement by the nurse is best?

Which strategy is most therapeutic as the nurse tries to analyze a bulimic client's eating habits and the circumstances that precipitate the client's eating problems?

The 20-year-old primipara attends a class for women who plan to breast feed. To prepare for breast feeding, the nurse should encourage the women to perform which implementation?

The adult client with newly diagnosed type 1 diabetes is being seen by the home health nurse. The health care provider placed the client on an 1,800-calorie ADA diet, ordered the client to self-administer 15 units of isophane each day before breakfast, and check the blood glucose qid. When the nurse visits the client at 17:00, the nurse discovers that the client has not eaten since noon and has just returned from jogging. The client's vital signs are: BP 110/80, pulse 120/min, respirations 18/min, and temperature 98.2°F (36.8°C). The nurse anticipates the client’s blood glucose to be which value?

The parent of the 8-month-old infant prepares to take the child home after treatment for bacterial meningitis. The parent confides to the nurse of being afraid that the child will have brain damage as a result of the illness. Which statement is the best response by the nurse?

The nurse cares for the child diagnosed with a fractured right femur. The child is in balanced suspension traction with a Thomas splint and Pearson attachment. When the nurse checks the client, the nurse finds the weights on the floor, and the child’s feet touching the foot of the bed. Which action by the nurse is most appropriate?

The nurse makes rounds on the postpartum unit. The nurse notes that a client's uterus is relaxed. The nurse should take which of the following actions?