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HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 172 pages. Originally published on StudyMerit.

Pages
172
Academic year
2025/2026
Language
English

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2 /139 NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 A young adult brings a friend 1) Assessment: outcome not priority but may be to the emergency department appropriate; pinpoint pupils are a sign of heroin and states that the friend has overdose been using heroin. Which action by the nurse is the 2) CORRECT - Assessment: outcome priority; MOST appropriate? shallow respirations seen; impaired alveolar gas exchange and possible respiratory arrest 1. Assess pupil size and reactivity. 3) Assessment: outcome not priority; most 2. Assess oxygen saturation important to assess airway and breathing levels. 3. Palpate dorsalis pedis 4) Assessment: outcome not priority but may be pulses. appropriate; drowsiness and euphoria may be seen; 4. Ask the client if he knows not priority today's date. The client tells the clinic nurse 1) Assessment: outcome not priority but may be that the client is thinking about appropriate; can be asked as part of assessment using nicotine polacrilex (Nicorette). Which question is 2) Assessment: outcome not priority but may be MOST important for the nurse appropriate; should be assessed for further to ask? teaching 1. "Have you tried other 3) CORRECT - Assessment: outcome priority; action methods to stop smoking?" of nicotine is vasoconstriction; increases heart rate 2. "How long have you been and myocardial oxygen consumption; increased risk smoking?" of angina and myocardial infarction 3. "Have you ever had chest pain?" 4) Assessment: outcome may be appropriate but 4. "Do you have a partial dental not priority; gum is place between cheek and gums; NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|12950611

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3 /139 NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 bridge?" may stain dental work The nurse cares for the client with a client controlled analgesia (PCA) pump. The nurse determines that the client has pressed the button 11 times and received 6 doses of morphine during the last hour. Which is the MOST appropriate action for the nurse to take? 1. Assess the patency of the PCA IV tubing. 2. Determine the client's understanding of the PCA pump function. 3. Obtain an order to begin a PCA infusion of fentanyl. 4. Ask the client to describe the pain. 1) Assessment: outcome not priority but may be appropriate; if tubing is obstructed, alarm is activated 2) Assessment: outcome may be appropriate but not priority; more important to determine pain level, description of the pain, region and radiation of the pain, and relieving factors 3) Implementation: outcome not desired; more important to assess severity of pain and pain relief first 4) CORRECT - Assessment: outcome priority; must validate that client is in pain before implementation NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|12950611

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4 /139 NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 A pregnant woman receives an 1) Implementation: outcome not desired; no epidural anesthetic. After increase in venous return administration of the epidural anesthetic, the client's blood 2) Implementation: outcome not desired; will pressure changes from 120/84 decrease venous return to 94/50. Which action by the nurse is MOST appropriate? 3) CORRECT - Implementation: outcome desired; will increase venous return and cardiac output; fetal 1. Place the client flat on her pressure on inferior vena cava reduced back. 2. Elevate the head of the bed 4) Implementation: outcome not desired; elevation 30 degrees. of legs will increase venous return, but fetal 3. Place the client on her left pressure on vena cava will prevent blood return to side with her legs flexed. heart 4. Place the client supine with the foot of the bed elevated. A nursing order, "Increase fluid 1) CORRECT - Assessment: outcome priority; intake" is written for a client increased amounts of antidiuretic hormone diagnosed with dehydration. secreted; urine output decreased and concentrated Which finding BEST indicates improving fluid status? 2) Assessment: outcome not priority; indicates that blood is hemoconcentrated 1. Urinary output of 1,500 mL in 24 hours. 3) Assessment: outcome not priority; normal intake 2. Serum hematocrit 52%. is 1,500 mL in 24 hours 3. Oral fluid intake of 900 mL in 24 hours. 4) Assessment: outcome not priority; normal BP is 4. Blood pressure of 100/82. 120/80 NUR 4120 Kaplan NCLEX Readiness Exam Questions And Answers 100%correct/verified Rated A+ Guaranteed Success Latest Update 2022 messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|12950611

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