Pre-made NCLEX® case-based flashcards with 1196+

Back

In a critical care unit:

  • A nurse is assigned to care for 2 clients
  • The nurse performs complete care for the clients

Which type of nursing care delivery system is being employed?

Answer:
TOTAL PATIENT CARE/ PRIVATE DUTY MODEL

Explanation

Total patient care/ private duty model involves having a nurse perform total and complete care for a group of clients on a one-on-one basis. This type nursing care delivery enhances continuity of care.

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

The unit manager:

  • Prepares the unit budget for the upcoming month 
  • Completes the work schedule of the staff nurses for the next 6 weeks

Which type of manager is being described?

Answer

MIDDLE MANAGER

Explanation

Middle managers supervise staff, prepare budgets and work schedules. Additional tasks include formulation and implementation of policies concerning client care and overall unit operation. Unit managers and supervisors are examples of roles under middle management.

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

Assessment findings on a 9-year-old include:

  • Maculo-papular rash on the scalp and trunk, extremities, and oral mucous membrane
  • Fever
  • Malaise
  • Anorexia

The clinical manifestations are consistent with what infectious disorder?

Answer :

VARICELLA (CHICKENPOX)

Explanation

Varicella (Chickenpox) is caused by Varicella Zoster Virus. It is transmitted via airborne, droplet and direct contact.

Assessment:

Initial symptoms: fever, malaise, anorexia; macular rash on the scalp and trunk → extremities → oral mucous membranes and genital/ rectal areas; papular rash → vesicles → break open → crusts

Assessment:
Implement airborne and contact precautions, at home, isolate the child until the vesicles have crusted and dried, promote skin care: avoid scratching pruritic lesions, bathe, and change clothes daily, apply topical antihistamines; administer medications

Medications:
Acetaminophen for fever, acyclovir (for immunocompromised clients); immunization with varicella vaccine for prevention, varicella zoster immune globulin (VZIG)

Complications:
Pneumonia, secondary bacterial infections, acute postinfectious cerebellar ataxia, encephalitis, Reye syndrome, herpes zoster, hepatitis, retinitis, optic neuritis, varicella zoster arteriopathy

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

The following infant response was observed when:

  • The nurse used the thumb to touch the ball of the newborn’s foot
  • The infant’s toes curl down tightly

Which infant/primitive reflex has been assessed?

Answer :

PLANTAR REFLEX

Explanation

The plantar reflex is assessed by using the thumb to touch the ball of the newborn’s foot. As a response, the infant’s toes curl down tightly. The reflex begins at birth and disappears at 8-10 months.

Assessment:
Normal response: infant’s toes curl down tightly

Interventions:
Use the thumb to touch the ball of the newborn’s foot; then observe for normal response; if response is abnormal, notify the health care provider

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

The nurse conducts an admission assessment on a 75-year-old female newly admitted in the long-term care facility:

  • gradual memory loss
  • difficulty accomplishing tasks such as cleaning the house and gardening
  • confused with time or place
  • irritable and agitated
  • misplaces things and unable to retrace steps
  • needs assistance with activities of daily living
  • has wandered twice in the past month

The nurse prepares to implement interventions focused on addressing what type of disorder?

Answer :

Dementia

Explanation

Dementia is a general term used to describe cognitive impairments that have gradual and progressive onset; it affects judgment, cognition, abstract thinking, and social behavior. The disorder is irreversible and results in self-care deficit.

Alzheimer’s disease is the most common form of dementia. It is an irreversible form of senile dementia caused by nerve cell deterioration.

Assessment :
Disorientation, impaired judgment, abstract thinking and learning; impaired recent and remote memory; labile affect (personality and mood changes); agnosia; aphasia, amnesia; apraxia; difficulty performing usual tasks

Interventions :
Conduct a functional assessment (cognitive status, daily functions, medical conditions, behavioral and psychological status); provide cognitive stimulation using simple activities; manager wandering behaviors; provide a consistent environment and structured routines; identify and reinforce retained routines; implement prescribed therapies: review of life therapy, validation therapy, milieu therapy, reality orientation; administer prescribed medications: donepezil, memantine, anti-anxiety drugs, SSRIs

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

A client with carbon monoxide poisoning exhibits:

  • A 5-inch-deep laceration in the right arm
  • A scheduled laceration repair

Which type of anesthesia is indicated?

Answer

 LOCAL ANESTHESIA

Explanation

Local anesthesia is administered in a specific area for minor surgical procedures. Local anesthetics act by anesthetizing the skin, subcutaneous tissue, and peripheral nerves. The duration of its action can range from 30 minutes to 12 hours or more

Indications:
Anesthetize a specific area for minor surgical procedures

Nursing Care:
Assess for signs of irritation; avoid the use of epinephrine on fingers à vasoconstriction à ​​​​​​​ necrosis; monitor for signs of local irritation

Feedback

Your feedback will be forwarded to our medical review team, who will use it to evaluate the question and answer. Thanks for your help with Umock ongoing quality improvement!

Comments

High-Yield Flashcards by Subjects and Topics:

Categorized by every subject and topic found on the examination blueprint,formatted for quick and convenient studying.

Rapid Retention:

Improve critical thinking and increase recall to make effective nursing judgments on the day of the test.

Exam Strategies Get answers for questions Frequently found on the NCLEX®

Focused review

Easily identify areas where you need to spend more time studying. Arrange by specific topics and subjects to build more knowledge and retention in weaker areas.

Fast learning

Minimize the time you spend preparing for difficult questions that require multi-level thinking and learn how to get to the answer quickly.

Integrated cases

Cases written for exactly what you need to learn in order to be fully prepared on test day. Review bullet point clinical cases anytime, anywhere.

Evidence based

Get access to a breadth of evidence based exam content in a format that makes it easy to study complex concepts and clinical cases.

Active recall

Spaced repetition is one of the most effective learning techniques to learn and retain large amounts of information.

Blueprint topics

NCLEX flashcard cases are a direct resource for efficient test prep that covers every subject and topic you’ll find on the examination.

Complete Nclex Next Gen Online Course Review
Choose The Best Plan

Created by nurse educators from top universities Explanations, work-up, diagnosis, assessment, and intervention

NCLEX® cases for every subject

Case based learning is one of the best mental activities you can do to effectively prepare for exam day. Organize by what you know or don’t know, save cards, shuffle, or group by subjects.

Sort By subject

Most Effective

Premade Flashcard

Customizable

Pre-made cases

Eliminate question
distractors during the exam

We simplify the learning process to help you answer the most difficult questions with confidence.

Study Pre Made Flashcards

Move concepts from short term to long term memory

The UMock platform allows you to review each subject from anywhere with high quality adaptable flashcards in a format essential for on-the-go students.

"Created by the best and brightest minds to drive higher scores,

Try our  new flashcards and master the NCLEX on exam day 

0