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Categories: NCLEX Style Questions

Correct answer now posted by Tanya…
A client with chronic lymphocytic leukemia has a central venous access device. She has a tunneled central catheter called a Hickman. The nurse knows that this catheter is inserted surgically and threaded to the subclavian, and then is advanced into the superior vena cava just above the junction with the

left […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…
Twelve hours post lumbar laminectomy a client complains of discomfort and the inability to void. Which is the best action for the nurse to take?

Assist the client to the bathroom
Palpate for fullness of the bladder
Apply manual pressure to the bladder as the client attempts to void
Insert an indwelling catheter

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…
A 2 day old neonate is receiving phototherapy for hyperbilirubinemia. During this therapy, it is essential that the nurse:

decrease the unit’s level of light every 2 hours
keep the neonate well covered to prevent cold stress
maintain the neonate’s position for 4 hours at a time
place an opaque mask over the […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…

The mother of a premature infant demonstrates knowledge of her son’s growth and development when she tells the nurse:

“If his respirations are the normal rate and he isn’t retracting or grunting. I won’t need to bring him in for an oximeter reading.”
“His skin will have less chance of friction or […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…

A nurse assigned to work on a new unit in a nursing home. The clients are elderly, alert, ambulatory or out of bed in wheelchairs. When administering medications, the nurse enters a client’s room and finds the client sitting on the side of a bed. Which of the following is […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…

In performing CPR, the primary goal of the nurse is to

return the heart to normal rhythm
maintain acid-base balance
maintain circulation to vital organs
correct fluid volume deficit

Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL

Categories: NCLEX Style Questions

The nurse is in an emergency situation, and needs to take a verbal order from the physician to administer a medication. What legal responsibilities are required regarding verbal orders?

Only nursing supervisors can take verbal orders from physicians
The charge nurse on duty needs to cosign the order within 2 hours
The verbal order should be signed by […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…

A client will be having a D&C (Dilatation & Curettage) tomorrow morning for retained placenta after the vaginal delivery of her health daughter. The informed consent is on the chart but has not been signed. The nurse asks the client if she understands this procedure. She states that she does […]

Categories: NCLEX Style Questions

Correct answer now posted by Tanya…

A 67 year old client with organic brain disorder (OBD) has recently been institutionalized due to his family’s inability to manage him at home. In the nursing home, he wanders into the hall every night and asks where his wife is. Which of the following strategies implemented by the nursing […]

Categories: NCLEX Style Questions