OBA NCLEX-RN (Part 1) case studies
OBA NCLEX-RN (Part 1) · Put your knowledge to work in context.
The NCLEX-RN is the licensure examination that candidates must pass to become a registered nurse in the United States and in several other jurisdictions that use the exam developed by the National Council of State Boards of Nursing (NCSBN). NCSBN describes its examinations as "the world's premier examinations," built with psychometrics intended to measure the competencies that matter for safe entry-level nursing practice. The exam is administered on behalf of state and territorial boards of nursing, which set licensure requirements; NCSBN notes that candidates can use its licensure guidance to find practice locations and requirements by state, and it publishes a directory for contacting a board of nursing. Because each board controls eligibility, applications, and licensure, candidates should confirm requirements with their own board rather than relying on general summaries. The OBA NCLEX-RN (Part 1) case studies are 5 cases and about 3,168 words.
1Postoperative Hemorrhage After Thyroidectomy
A 52-year-old client is 6 hours post total thyroidectomy for papillary carcinoma. The nurse's 0700 assessment: respirations 22 and shallow, SpO2 93% on room air, heart rate 118, blood pressure 138/84, temperature 37.0°C.
688 words, about 3 min2Refusal of Blood Transfusion With Hemoglobin 6.4 g/dL
A 68-year-old Jehovah's Witness is admitted with a GI bleed. Hemoglobin is 6.4 g/dL, heart rate 112, blood pressure 96/58, respirations 24, temperature 36.8°C.
652 words, about 3 min3Titrating Oxygen in a Client With COPD and Rising CO2
A 74-year-old with severe COPD (FEV1 32% predicted) is admitted with a COPD exacerbation. Baseline ABG on admission: pH 7.36, PaCO2 52 mmHg, PaO2 55 mmHg, HCO3 29 mEq/L.
565 words, about 3 min4Agitated Client With Delirium on a Medical Unit
A 79-year-old is admitted with a urinary tract infection and dehydration. Overnight the client becomes agitated, pulls at the IV and Foley, and tries to climb over the side rails.
615 words, about 3 min5Discharge Teaching After New Ileostomy With Limited Health Literacy
A 44-year-old is discharged 4 days after surgery for a new end ileostomy. Output is 1,400 mL over 24 hours, and the client has lost 2 kg since admission.
648 words, about 3 min