NCLEX review E1

A nurse is instructing a client on the use of an incentive spirometer. Which statement by the client indicates understanding?

• I will place the adapter on my finger to read my blood oxygen saturation level

• I will lie on my back with my knees bent

• I will rest my hand over my abdomen

• I will take in a deep breath and hold it before exhaling

A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?

• Keep the client in a side-lying position

• Document the duration of the seizure

• Reorient the client to the environment

• Provide client hygiene

When should a nurse notify the rapid response team?

• Patient who has a pressure injury of the right heel whose blood glucose is 300 mg/dl

• Patient who reports right calf pain and shortness of breath

• Patient who has blood on a pressure dressing in the femoral area following a cardiac catheterization

• Patient who has dark red coloration of left toes and absent pedal pulse

Which of the following principles should underlie an emergency preparedness activities?

• Disasters most often happen in the midwest ans gulf coast

• Disasters can happen at anytime and anyplace

• Disasters can be predicted if we are prepared

• Disasters happen most often in urban/rural areas

The important quality being demonstrated by a Nurse in a role of a counselor and a teacher is:

• Assertiveness

• Firmness

• Intelligence

• Active Listening

You made a mistake by giving the wrong medicine. You notify the client’s doctor and write an incident report. You are demonstrating:

• Responsibility

• Authority

• Accountability

• Autocracy

The nurse is caring for a client with a blood sugar reading of 390. Is this subjective or objective data?

• subjective

• objective

A client tells the healthcare provider, "My leg itches." The complaint of itching is considered to be __________ data.

• subjective

• objective

The nurse carries out interventions in which phase of the nursing process?

• evaluation

• assessment

• nursing diagnosis

• planning

• implementation

The nurse carries out interventions in which phase of the nursing process?

• evaluation

• assessment

• nursing diagnosis

• planning

• implementation