Nursing Exam Norcet Nclex preparation By SK Sir

4. While providing care, the nurse notices that a client starts having seizures while lying in bed. What should the nurse do as a priority to minimize the risk of aspiration during the seizure?

A. Place a tongue depressor between the client's teeth.
B. Lift the head of the bed to an elevated position.
C. Undo any tight-fitting clothes around the client's neck or chest.
D. Turn the client to lie on their side and flex the head forward.

3. You're educating a client who has been diagnosed with acute renal failure. The client wants to know the most critical complication associated with this condition. What should the client be most concerned about?

A. Hyperkalemia
B. Hypoglycemia
C. Thrombocytopenia
D. Hypercalcemia

1. Nurse Amelia is taking care of a patient who has recently undergone surgery for retinal detachment. While developing a postoperative care plan, she is pondering which goal should be prioritized to optimize the patient's recovery. What should be the principal focus of her care?

A. Minimizing post-surgical discomfort.
B. Encouraging a sodium-restricted diet.
C. Avoiding elevation of intraocular pressure.
D. Keeping the patient's room dimly lit.

As a nurse, you are vigilant about recognizing the signs of a potential thromboembolism in your clients. Which of the following is not generally considered a sign of thromboembolism?

A. Development of edema.
B. A noticeable coolness in the limb.
C. Obvious swelling of the limb.
D. Visible redness in the affected area.

You are a nurse on a medical-surgical floor and witness a patient, Emily, experiencing a tonic-clonic seizure while ambulating in the corridor. What should be your immediate priority during the seizure episode?

A. Safeguard the client's cranium from trauma.
B. Try to position an oral device between the client's teeth.
C. Transition the client to a cushioned surface.
D. Secure the client's extremities tightly.

Nurse Clara is educating a pregnant client on recognizing danger signs during the antepartum period that require immediate reporting. Which of the following symptoms should the client be instructed to report promptly?

A. Breast tenderness.
B. Nasal stuffiness.
C. Leaking amniotic fluid.
D. Constipation

2. Nurse Grace is assessing a client whose last menstrual period (LMP) date is unknown. To estimate the gestational age, Nurse Grace checks the fundal height. Which of the following fundal heights would indicate a gestation of less than 12 weeks?

A. Uterus at the level of the umbilicus.
B. Uterus at the xiphoid process.
C. Uterus located in the pelvis.
D. Uterus positioned in the abdomen.

You're a nurse reviewing the cerebrospinal fluid (CSF) analysis results for an adult male client who has recently had a lumbar puncture. Which of the following values would you expect to be negative in order to consider the CSF as normal?

A. Presence of insulin.
B. Amount of protein.
C. Count of white blood cells.
D. Count of red blood cells.

Nurse Thomas is educating a client about the potential side effects of digitalis, a medication used to treat heart conditions. What should Nurse Thomas teach the client as a sign of digitalis toxicity?

A. Developing a skin rash across the chest and back areas.
B. Experiencing visual disturbances, such as seeing yellow spots or halos.
C. Feeling an unusual increase in appetite.
D. Noticing an elevation in blood pressure levels.

What medication should the nurse have on hand for the emergency treatment of tetany in a patient who has undergone a thyroidectomy?

A. Potassium chloride
B. Calcium chloride
C. Magnesium citrate
D. Magnesium sulfate

30. Following an adrenalectomy for a client diagnosed with pheochromocytoma, the nurse should meticulously evaluate this patient for:

A. Excessive sodium and water intake.
B. Significant variations in blood pressure.
C. High blood sugar (hyperglycemia).
D. Low potassium levels (hypokalemia