NO.1 The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:
A. Fluid Volume Deficit.
B. Knowledge Deficit: New Diabetes Diagnosis.
C. Impaired Skin Integrity.
D. Alteration in Nutrition: More than Body Requirements.
Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly
insulin injections, foot care, sick-day plans, and so forth. Choices 1 and 4 are diagnoses to prevent,
but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition
than body requirements-type II is likely to be more, but type I is likely to be less.Physiological
NO.2 While walking in the hallway of an acute care unit of the hospital, the nurse overhears the
change of shift report. The nurse should:
A. ignore the situation.
B. return to his or her own unit and not disclose that confidential information has been overheard.
C. disregard the information because it changes quickly on the acute care unit and is outdated within
2-3 hours anyway.
D. make the charge nurse on the unit aware of the situation so that he or she can take the necessary
steps to maintain the confidentiality of the information being reported.
To protect the confidentiality of the information being reported, the nurse should make the charge
nurse on the unit aware of the situation so that the information can be communicated in an
appropriate way in privacy.
NO.3 Which of the following statements by a client indicates adequate preparation for magnetic
A. "I can have the test even though I have an artificial hip."
B. "I need to wear earplugs during the test."
C. "I can have the test even though I have a pacemaker."
D. "I can leave my metal jewelry on during the test."
NCLEX-PN Updates NCLEX-PN Sheets
Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No
metal objects are allowed, including jewelry, pacemakers, and artificial joints.
Reduction of Risk Potential
NO.4 What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-
The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.Reduction of Risk
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