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Тест: National Council Licensure Examination for Registered Nurses

Описание теста:
National Council Licensure Examination for Registered Nurses
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Which of the following actions, if performed by the nurse, would be considered negligence?

The nurse in the same-day surgery department cares for a 77-year-old woman after a sigmoidoscopy. Which of the following symptoms, if exhibited by the woman an hour after the procedure, would MOST concern the nurse?

The nurse is discharging a patient from an inpatient alcohol treatment unit. Which of the following statements, if made by the patient’s wife, indicates to the nurse that the family is coping adaptively?

The nurse is caring for a patient with cervical cancer. The nurse notes that the radium implant has become dislodged. Which of the following actions should the nurse take FIRST?

The nurse has reviewed the charts of four antepartal women. Which woman is at greater risk for having a child with a cleft lip and palate?

A 22-year-old woman in her second trimester of pregnancy tells the clinic nurse that her child has been asking questions “about sex.” The client asks the nurse what she should tell her 5-year-old son. Which of the following statements, if made by the nurse, is BEST?

The nurse is observing a LPN/LVN administer iron dextran (DexFerrum) IM. It is MOST important for the nurse to give which of the following instructions?

A nurse is caring for clients in the mental health clinic. A women comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is MOST appropriate?

The nurse is teaching a 45-year-old woman how to increase the potassium in her diet. The woman says she knows bananas are high in potassium, but she doesn’t like their taste. What foods should the nurse recommend the client include in her diet?

A 68-year-old woman diagnosed with thrombocytopenia due to acute lymphocytic leukemia is admitted to the hospital. The nurse should assign the patient

The nurse cares for a 46-year-old woman after a traditional cholecystectomy. The patient has a nasogastric tube connected to suction, an IV of D5W infusing into her right arm, and a T-tube and Penrose drain in place. The nurse would be MOST concerned by which of the following findings?

The nurse is leading an inservice about management issues. The nurse would intervene if a nurse made which of the following statements?

A patient with a history of alcoholism is brought to the emergency room in an agitated state. He is vomiting and diaphoretic. Had his last drink five hours ago. The nurse would expect to administer which of the following medications?

The nurse is caring for a patient with an acute myocardial infarction. Which of the following laboratory findings would MOST concern the nurse?

The nurse has completed discharge instructions for a primigravida woman who is 29 weeks gestation and hospitalized for treatment of deep vein thrombosis. Which of the following statements, if made by the patient to the nurse, indicates that teaching has been successful?

The nurse is caring for clients in an orthopedic clinic. Then nurse would be MOST concerned if which of the following was observed?

At the advice of the physician, a client with hypertension attends classes to help him quit smoking. One month later the client visits the clinic, and the nurse notes a package of cigarettes in his pocket. Which of the following statements, if made by the nurse, is MOST appropriate?

A 65-year-old woman recovering from a right below-knee amputation (BKA) asks the nurse why the bandage is applied in a “figure-eight.” Which of the following explanations, if made by the nurse, is MOST accurate?

While inserting a nasogastric tube, the nurse should use which of the following protective measures?

The physician orders codeine 60 mg and aspirin grains X PO every four hours, as needed for pain. Each codeine tablet contains 15 mg of codeine. Each aspirin tablet contains 325 mg of aspirin. Which of the following should the nurse administer?

The nurse is caring for a patient 4 hours after undergoing intracranial surgery. Which of the following actions should the nurse take immediately?

The nurse observes the behavior of a patient seen in the emergency room. Which of the following would indicate to the nurse that the patient is experiencing a panic level of anxiety?

A 7-year-old girl with insulin-dependent diabetes (IDDM) has been home sick for several days and is brought to the emergency department by her parents. A diagnosis of ketoacidosis is made. The nurse would expect to see which of the following lab results for this client?

The nurse in the out-patient clinic is discussing exercise programs with a group of adults. Which of the following statements, if made to the nurse by one of the participants, indicates the need for further teaching?

The nurse in the out-patient clinic evaluates the Mantoux test of a 36-year-old woman. The woman’s history indicates that she has been treated during the past year for an AIDS-related infection. The nurse should document that there was a positive reaction if there was an area of induration measuring what?

The nurse is performing a home care visit on a three-year-old with a cast on the left arm due to a fracture of the radius. The nurse would be MOST concerned if which of the following was observed?

The home care nurse is visiting an 82-year-old woman living with her daughter. The client appears malnourished and has multiple bruises on her body. Which of the following actions, if taken by the nurse, is MOST appropriate?

The nurse is caring for a 7 lb 9 oz infant born 24-hours ago by cesarean section due to maternal herpes simplex virus. It would be MOST important for the nurse to take which of the following actions?

The nurse plans to teach a 52-year-old woman about warfarin sodium (Coumadin). The nurse should teach the patient which of the following measures?

The nurse is caring for a patient one day after an abdominal–perineal resection for cancer of the rectum. The nurse should question which of the following orders?

The nurse plans postoperative care for a 40-year-old woman scheduled for a stapedectomy. When the patient is returned to her room after surgery, the nurse should expect which of the following?

The nurse is observing a student nurse care for a patient with a tracheostomy tube. The nurse would intervene if which of the following was observed?

The nurse is caring for a woman who is 37-weeks gestation. The nurse would be MOST concerned by which of the following findings?

A 1-year-old girl admitted to the hospital with a fractured femur is placed in Bryant’s traction. The nurse knows that the child should be placed in which of the following positions?

A 72-year-old woman is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is MOST appropriate?

An 84-year-old man is admitted with a diagnosis of dementia. He attempts several times to pull out his nasogastric tube. An order for cloth-wrist restraints is received by the nurse. Which of the following actions by the nurse is MOST appropriate?

The nurse cares for a patient who has syndromes of inappropriate antidiuretic hormone (SIADH). Which of the following assessments would the nurse find consistent with this diagnosis?

A 25-year-old man is being treated for Pneumocystis carinii pneumonia. The nurse should intervene in which of the following situations?

A 14-year-old boy is brought to the emergency room with a compound fracture of the left femur. His vital signs are: BP 80/60, pulse 120, respirations 26, temperature 99.0° F (37.2° C). Which of the following fluids would the nurse expect the physician to order initially?

The nurse is observing a staff member assist the physician with a lumbar puncture. The nurse would judge that the care was appropriate if the nurse observed which of the following behaviors?

Which of the following observations of a 8 lb 4 oz newborn boy, if made by the nurse, would require an intervention?

To evaluate a patient’s hydration status, the nurse should check the patient’s

The nurse is caring for a patient one hour after a percutaneous liver biopsy. The nurse would be MOST concerned if which of the following was observed?

The nurse knows that which of the following patients has the lowest risk of developing a deep vein thrombosis (DVT)?

The nurse is caring for a 67-year-old man four days after a suprapubic prostatectomy. The physician has removed the Foley catheter. A suprapubic (S/P) catheter remains in place. Which of the following actions, if taken by the nurse, is MOST appropriate?

A nurse is supervising a group of elderly clients in a residential home setting. The nurse knows the elderly are at greater risk of developing sensory deprivation for what reason?

A 67-year-old patient with emphysema becomes restless and confused. Which of the following actions, if taken by the nurse, is BEST?

The nurse is performing discharge teaching on a patient with chronic renal failure. The nurse knows that teaching has been successful if the patient selects which of the following menus?

The nurse on postpartum is preparing four patients for discharge. It would be MOST important for the nurse to refer which of the following patients for home care?

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