NCLEX NCLEX-RN Answers

A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After
establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing
intervention would be to:

A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight
and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with
the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the
nurse uses the following strategy

Which of the following nursing orders has the highest priority for a child with epiglottitis?