NCLEX Client Needs practice spans the exam's four major categories safe/effective care, health promotion, psychosocial integrity, and physiological integrity.
Which statement made by a patient indicates a need for further teaching about cervical cancer prevention and screening?
An infant is at risk for fluid volume deficit due to vomiting and/or diarrhea. The nurse should carefully observe the infant for which finding?
A client says to the nurse, "I'm still on restriction to the unit and I'd really like to start attending off-unit activities. Would you ask the doctor to upgrade my privileges?" What is the nurse's best response?
A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following?
Under what circumstances can a nurse refuse to follow a healthcare provider's prescription, and what must the nurse do in that situation?
A 21-year-old patient diagnosed with schizophrenia is stuporous, yet exhibits sudden, excessive motor activity such as repetitive sit-ups. What is this behavior called?
The nurse monitors an infant with a suspected diagnosis of imperforate anus, knowing that which of the following is a clinical manifestation associated with this disorder?
A client is brought to the emergency room by the police. He is combative and yells, "I have to get out of here. They are trying to kill me." Which assessment is most likely correct in relation to this statement?
During a nurse-client interview, the client attempts to shift the session's focus from himself to the nurse by asking the nurse personal questions. The nurse should respond by saying:
A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5 cm dilated with 75% effacement. Based on this assessment, in which phase of labor is the client? (Note: The latent/early phase is 1-3 cm dilation, the active phase is 4-7 cm dilation, and the transition phase is 8-10 cm dilation.)
A client with severe anemia is to receive a unit of packed red blood cells. In the event of a transfusion reaction, the first action by the nurse should be to:
A client says, "I've done a lot of cheating and manipulating in my relationships." A nonjudgmental response by the nurse would be:
Once you're comfortable with client needs, try a full NCLEX practice test to see how it holds up under timed, mixed-section conditions, or head back to all NCLEX categories.