NCLEX Practice Set 4

A client with long-standing type 2 diabetes must undergo a CT scan with contrast. The nurse reviews the client’s medication list.

>The nurse understands which of the following client medications requires special attention in the client undergoing a CT scan with contrast?

The nurse is reviewing history on a client who regularly visits the rural clinic. There is documentation in the record that indicates history of possible physical abuse, though the client has previously denied it. The nurse begins the screening process for domestic violence and the client responds, “Can you help me get out of this situation?”

>Which stage of the Stages of Change Model is the client exhibiting?

A 70-year-old woman is preparing to go home after spending five days in the hospital with pneumonia. She is being sent home on oxygen therapy and the nurse has just completed discharge teaching.

>Which of the following statements by the client is a concern?

A nurse on the postpartum floor receives report from the night shift nurse.

>Which of the following clients should she assess first?

A nurse is caring for a client who has been diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH).

>Which lab result would the nurse expect to find in this client?

A nurse is gathering her supplies to administer medication to a client with a PEG tube. The client has a hydralazine tablet and a metformin extended-release tablet ordered.

>Which of the following actions is appropriate when administering the above medications?

The nurse is creating a care plan for an adult female who is having difficulty sleeping. The woman reports insomnia several days a week.

>Which of the following would be inappropriate to include in the plan of care?

The nurse is observing a student test the twelve cranial nerves. The student asks the client to smile, puff out their cheeks, raise eyebrows, and show their teeth.

>Which cranial nerve is the student assessing?

A nurse is assisting an elderly man to learn to ambulate with a walker after an orthopedic surgery.

>Which of the following actions by the client requires additional teaching?

A Hispanic man is admitted to the hospital and will be undergoing a reconstruction of the anterior cruciate ligament. He needs to sign a consent form prior to the procedure.

>Which of the following is a nurse’s responsibility regarding informed consent?