NCLEX preparation (medical Line)
The nurse is assessing a neonate with Hirschsprung's disease. Which of the following would be an expected finding?
abdominal distention
urinary retention
hematemesis
palpable abdominal mass
The nurse is caring for a client who is receiving prescribed enoxaparin. Which of the following findings would indicate the client is having an adverse effect?
thrombocytopenia
leukocytosis
polycythemia
neutropenia
The nurse is preparing to perform a heel stick on a newborn. To perform comfort during the procedure, the nurse should
apply a cool compress to the heel for three to five minutes
turn off the lights in the room to minimize stimulation
milk the heel once punctured by the lancet
swaddle the infant
The Nurse is preparing to obtain a wound culture on an infected leg ulcer. Before swabbing the wound to obtain the culture, the nurse should
clean the wound with sterile saline.
pat dry the wound with gauze.
irrigate the wound with hydrogen peroxide
don sterile gloves
The nurse is caring for a client who is receiving prescribed montelukast. Which of the following findings would indicate the client is having an adverse effect?
hypertension
hallucinations
constipation
A nurse assesses an infant with a heart rate of 50, cyanotic and apneic. The nurse should initailly
start chest compressions
notify the code/rapid response team
deliver rescue breathes
obtain intravenous access
The nurse is admitting a child diagnosed with epiglottis. Which of the following has been linked to preventing this condition
Tetanus, Diphtheria and Pertussis (T dap)
influenza
Haemophilus influenza type B
Measles, Mumps and Rubella (MMR)
Which of the following diet orders should the nurse request from the healthcare providers?
a low sodium diet
a mechanical soft diet
a renal diet
a high fiber diet
The nurse has administered the first dose of prescribed rivastigmine to a client with Alzheimer's disease. Which clinical data is necessary to maintain while the client takes this medication
glucose
weight
creatinine
hemoglobin and hematocrit
The nurse is assessing a client with congestive heart failure. Which physical assessment finding should the nurse expect?
Intermittent claudication
S3 gallop
Venous stasis ulcers
Widened pulse pressure