READINESS EXAM 2

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

READINESS EXAM 2

This Readiness Exam Is Powered By ACHIEVERS NCLEX-RN CONSULT. Getting an average score is a GOOD INDICATOR of Preparedness/Readiness for the exam. However, we advice that you take ALL of our READINESS EXAM to know the True trend of your performance/Readiness.

●PASSMARK: 17/30
●BEST WISHES!

Email *

Q1. The nurse provides discharge instructions for an older adult client
who has difficulty sleeping. Which intervention should the nurse
include in the teaching?
*

1 point

1. Decrease fluid intake 2 to 4 hours before going to bed.

2. Limit caffeine after the client has eaten supper.

3. Sleep in when unable to sleep at night.

4. Exercise after supper

Q2. The nurse provides care for a client being assessed for an ectopic
pregnancy. Which finding is characteristic of an ectopic pregnancy
with a ruptured tube? (Select all that apply.)
*

1 point

1.Increasing, weak pulse.

2.Increasing respiratory rate.

3.Increased blood pressure.

4.Decreased urine output.

5.Warm, diaphoretic skin.

Required

Q3. A client returns to the care area after an esophagectomy. Which

intervention will the nurse make a priority?

1 point

1.Turning, deep breathing, and coughing every 1 to 2 hours.

2.Positioning the client in semi-Fowler or high-Fowler.

3.Monitoring heart rhythm for arrhythmias and changes in rate.

4.Evaluating nasogastric tube drainage for character and color

Q4. The infection control nurse supervises care for a client diagnosed with a Clostridium difficile (C.Diff). Which action, if observed by the infection control nurse, necessitates intervention? (Select all

that apply.)

1 point

1.Implementing droplet precautions while caring for the client.

2.Cleansing equipment with alcohol wipes.

3.Using hand sanitizer after providing client care.

4.Allowing the client to eat in the hospital cafeteria.

5.Leaving the client's door open after staff members exit the room

Required

Q5. The nurse provides care for a client diagnosed with diabetic

ketoacidosis. Which nursing diagnosis will the nurse include in the

plan of care for this client? (Select all that apply.)

1 point

1.Anxiety related to loss of control and inability to manage diabetes.

2.Risk for fluid volume excess related to anuria.

3.Deficient knowledge related to diabetes management.

4.Risk for electrolyte imbalance related to fluid shifts.

5.Risk for falls related to mental status changes

Required

Q6. The nurse documents assessment findings in a child's electronic medical record. Which measure does the nurse take to protect the child's confidentiality? *

1 point

1.Share computer log-on information with coworkers who also care for the child.

2.Log off the computer at the end of the shift.

3.Leave client information visible to staff when leaving a computer unattended.

4.Share documented findings only with those directly involved in the child's care.

Q7. The client is 4 hours postoperative. The nurse increases the supplemental oxygen dose based on the pulse oximetry reading.
After 15 minutes, the nurse assesses the client's response to the
intervention. Which finding does the nurse report to the health
care provider? *

1 point

1.The client requires an increased dose of supplemental oxygen.

2.The client is drowsy with a respiratory rate of 16 breaths per minute.

3.The client has a loose, productive cough with deep inspiration.

4.The client raises the head of the bed for breathing exercises

Q8. The nurse provides care for a client expressing concern about the
development of diabetes mellitus (DM). The nurse educates the
client on factors that increase the risk for DM. Which risk factor
should the nurse include in this teaching? (Select all that apply.)
*

1 point

1.Client's has BP of 122/75 mm Hg.

2.Client's parent or sibling has DM.

3.Client is age 45 or older.

4.Client is 20% over desired body weight.

5.Client's HDL cholesterol level is 25 mg/dL

Required

Q9. The nurse completes a client's admission assessment. Which
area will the nurse assess as part of the spiritual assessment?
(Select all that apply.)

*

1 point

1.Prayer needs.

2.Affiliation with religious communities.

3.Stress level.

4.Coping mechanisms.

5.Interest in pastoral care visits.

Required

Q10. The nurse provides care for a client scheduled for a surgical
procedure the next day. The nurse determines that the client does
not understand the possible consequences of the procedure.
The nurse does not ask the client to sign the informed consent
form until the health care provider provides additional explanation
and the client verbalizes understanding. Which ethical principle is guiding the nurse's care?
*

1 point

1.Fidelity.

2.Beneficence.

3.Veracity.

4.Accountability

Q11. A client with heart failure is prescribed furosemide. Which observation best indicates to the nurse that this medication is effective? *

1 point

1.Ankle edema is +1.

2.Urine output 45 mL/hr.

3.Crackles bilateral lung bases.

4.Blood pressure 158/88 mm Hg.

Q12. The nurse provides care for a client diagnosed with chronic obstructive pulmonary disease (COPD) who is malnourished. To improve the client's nutritional status, the nurse includes which statement in the care plan? (Select all that apply.)

*

1 point

1.Use bronchodilators before meals.

2.Avoid exercise for 1 hour after meals.

3.Consume high-calorie foods at the end of meals.

4.Choose foods high in carbohydrates.

5.Drink fluids in between meals, not with meals.

Required

Q13. The nurse finds a client lying on the floor. The client is unresponsive with agonal, gasping respirations and no palpable pulse.
Which action is appropriate for the nurse to take? (Select all that
apply.)
*

1 point

1. Administer synchronized cardioversion.

2.Begin cycles of 30 chest compressions and two breaths.

3.Call for nearby help.

4.Check the client's heart rhythm.

5.Activate the emergency response system using a mobile device.

Required

14. The nurse teaches a group of clients about prenatal care. Which
client statement requires further teaching?
*

1 point

1."I avoid changing my cat's litter box."

2."I drink eight glasses of water each day."

3."I put my legs up on a pillow when I lie on my back."

4."I continue exercising until I become short of breath.

Q15. The nurse asks a nursing assistive personnel (NAP) for the temperature obtained on a client prior to hanging a blood product.
Which right of delegation does the nurse follow in this situation?
*

1 point

1.Right task.

2.Right circumstance.

3.Right communication.

4.Right evaluation.

Q16. The nurse palpates a client's neck to assess the lymph nodes.
Which technique is most appropriate for the nurse to use?

1 point

1.Compress the lymph nodes between two fingers.

2.Use the pads of two fingers in a rotating motion.

3.Use the flat aspects of all four fingers in a vertical and then side-to-side motion.

4.Use the back of one hand and observe temperature variation between the left and right nodes.

Clear selection

Q17. The nurse provides nutritional teaching to a client who is prescribed phenelzine. Which food does the nurse instruct the client
as being appropriate to consume?
*

1 point

1.Avocadoes.

2.Bananas.

3.Cottage cheese.

4.Smoked salmon.

Q18. The nurse provides care for a client receiving peritoneal dialysis (PD). Which action is a priority for the nurse during PD exchanges?
*

1 point

1.Re-positioning the client regularly from side to side.

2.Warming the dialysate to approximately 98.6° F (37° C).

3.Using a surgical mask when connecting dialysate bags.

4.Maintaining negative balance in client's fluid status.

Q19. The nurse prepares to leave the room after irrigating the infected wound of a client in contact transmission-based precautions.
Which personal protective equipment item does the nurse remove
next after taking off the contaminated gloves?
*

1 point

1.Mask.

2.Gown.

3.Eye goggles.

4.Foot covering.

Q20. The nurse provides care for a client who receives metoprolol. The
nurse will assess the client for which adverse effect? (Select all
that apply.)

*

1 point

1.Tachycardia.

2.Bronchospasm.

3.Hyperglycemia.

4.Hypotension.

5.Fatigue.

Required

Q21. The nurse provides care for a client diagnosed with anemia
caused by chronic kidney disease. The nurse teaches the client
about epoetin therapy. Which statement by the client indicates that
teaching was effective?
*

1 point

1."I will regularly monitor my blood pressure."

2."I will shake the medication before administration."

3."I will avoid taking iron supplements."

4."I will avoid drinking orange juice or eating citrus fruits."

Q22. The nurse provides care to a newly admitted client. At which time
will the nurse conduct a medication reconciliation? (Select all that
apply.)
*

1 point

1.At every clinic appointment.

2.At the pharmacy.

3.Upon discharge to home.

4.Upon entry into the unit.

5.Upon transfer to a skilled unit.

Required

Q23. A client recovering from surgery becomes confused and anxious
and is hyperventilating. When using SBAR communication, which
statement does the nurse make when notifying the health care
provider?
*

1 point

1."The client's mental status has deteriorated."

2."I am concerned about this client who has become confused

and is hyperventilating."

3."The problem seems to be the respiratory status of this client."

4."Please come and see this client as the condition has changed."

Q24. The nurse provides care to a client with liver failure. Which medication route will the nurse use to avoid the first-pass effect with
this client? (Select all that apply.)
*

1 point

1.Inhaler.

2.Oral.

3.Intramuscular.

4.Sublingual.

5.Transdermal.

Required

Q25. The nurse provides care for a client who exhibits a sacral pressure
injury. The foam dressing was changed 13 hours ago. No drainage
is noted on the dressing. Which action should the nurse take next?
*

1 point

1.Document that the dressing is intact.

2.Clean the wound and apply a new dressing.

3.Place a consult with the wound care team.

4.Remove the dressing to assess the wound.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms