NCLEX RN Review for Reduction of Risk Potential
1. A client’s laboratory results have been returned and the creatinine level is 7 mg/dL. This finding would lead the nurse to place the highest priority on assessing
a. Pupillary reflex.
b. Intake and output.
c. Capillary refill.
d. Temperature.
2. A client requires that a bronchoscopy procedure be done. Due to his physical condition, he will be awake during the... Continue Reading
Safe and Effective Care Environment NCLEX Review Questions Answers and Rationale
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1. Answer A. Advance directives are signed, witnessed documents that provide specific instructions for treatment if a client can’t give those instructions personally when required. Depending on the client’s wishes, they may or may not include DNR orders.
2. Answer B. When taking a medication order over the telephone, standard practice requires verbal... Continue Reading
Safe and Effective Care Environment NCLEX Review Questions
1. The Client Self-Determination Act of 1990 requires all hospitals to inform clients of advance directives. What should nurse Byron tell the client about such advance directives as living wills and health care power of attorney?
a. They guide the client’s treatment in certain health care situations
b. They can’t provide do-not-resuscitate (DNR)... Continue Reading
NCLEX RN Questions for Health Promotion and Maintenance Answers and Rationale
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1. Answer A. Causes of deficient fluid volume include vomiting, diarrhea, conditions that cause increased respirations or increased urinary output, insufficient IV fluid replacement, draining fistulas, and the presence of an ileostomy or colostomy. A client with congestive heart failure or decreased kidney function, or a client receiving frequent wound... Continue Reading
NCLEX RN Questions for Health Promotion and Maintenance
1. Nurse Tristan is assigned to care for a group of clients. On review of the clients’ medical records, the nurse determines that which client is at risk for deficient fluid volume?
a. A client with a colostomy
b. A client with congestive heart failure
c. A client with decreased kidney function
d. A client receiving frequent wound... Continue Reading
NCLEX-RN Safe and Effective Care Environment Answers and Rationale
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1. Answer D. Because of the predilection toward outside and agricultural jobs, migrant workers, made up mostly of Hispanic people, this group is at higher risk for exposure.
2. Answer D. The most common type of first-degree burn is sunburn underscoring the need for education regarding the use of sunscreens and avoiding... Continue Reading
NCLEX-RN Review Safe and Effective Care Environment
1. Which of the following ethnic groups is at higher risk for pesticide-related injury?
a. Native American
b. Asian-Pacific
c. Norwegian
d. Hispanic
2. Nurse Helena will teach parents of small children that the most common type of first-degree burn is:
a. scalding from hot bath water or spills
b. contact with hot surfaces such as... Continue Reading
Health Promotion and Maintenance NCLEX RN Review Questions Answers and Rationale
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1. C. When irrigating a colostomy, the patient should insert the catheter 2” to 4” into the stoma. Inserting it less than 2” may cause leakage. Inserting it more than 4” may cause trauma to the intestinal mucosa.
2. D. When administering several oral medications, the nurse should state the name of each medication and... Continue Reading
Health Promotion and Maintenance NCLEX RN Review Questions
1. Mr. X has colon cancer requires a permanent colostomy because of the tumor location. After the surgery, the patient must learn how to irrigate the colostomy. When irrigating, how far into the stoma should the patient insert the lubricated catheter?
a. 0.25” to 0.5”
b. 1” to 1.5”
c. 2” to 4”
d. 5” to 7”
2. A patient is to... Continue Reading