Reduction of Risk Potential NCLEX Practice Test Answers and Rationale
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1. Answer B. The priority is postoperative respiratory toilet. This client will quickly develop profound atelectasis and eventually pneumonia without adequate gas exchange. This will only be achieved with the appropriate pain management. 2. Answer D. Blood that comes in contact with the pleural space becomes... Continue Reading
Reduction of Risk Potential NCLEX Practice Test
1. When caring for a client with a post right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote:
a. Relaxation and sleep
b. Deep breathing and coughing
c. Incisional healing
d. Range of motion exercises
2. A client has a chest tube in place following a left lower lobectomy inserted after a stab... Continue Reading
NCLEX Practice Questions Pharmacological and Parenteral Therapies Answers and Rationale
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1. Answer C. Monitor serum glucose levels. Hyperglycemia may occur during the first day or 2 as the child adapts to the high-glucose load of the TPN solution. Thus, a chief nursing responsibility is blood glucose testing. 2. Answer D. Total parenteral nutrition formulas contain dextrose in concentrations of 10% or greater to... Continue Reading
NCLEX Practice Questions Pharmacological and Parenteral Therapies
1. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?
a. Use aseptic technique during dressing changes
b. Maintain central line... Continue Reading
Management of Care NCLEX Questions Answers and Rationale
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1. Answer B. Calling the supervisor is a secondary measure after confronting the nurse and relieving the nurse of her duties. You cannot always assume the supervisor will be immediately available, and client safety should be addressed first. When another nurse is unable to perform her nursing duties due to substance abuse, she should not be... Continue Reading
Management of Care NCLEX Questions
1. Angelina, an R.N., reports to work looking unkempt. Maegan, another R.N., approaches when she notices her using uncoordinated movements. Angelina’s breath reeks of peppermints and Maegan suspects Angelina may be intoxicated. What is the best initial nursing action for Maegan to take? a. Call the supervisor and report Angelina. ... Continue Reading
Basic Care and Comfort NCLEX Practice Test Answers and Rationale
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1. Answer D. Exercise is important to keep the joints and muscles functioning and to prevent secondary complications. Using the overhead trapeze prevents hazards of immobility by permitting movement in bed and strengthening of the upper extremities in preparation for ambulation. Sitting in a wheelchair would require too great hip flexion... Continue Reading
Basic Care and Comfort NCLEX Practice Test
1. Nurse Jessie is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
a. arranging for the wheelchair
b. asking her family to visit
c. assisting her to sit out of bed in a chair... Continue Reading
Safety and Infection Control NCLEX Questions Answers and Rationale
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1. Answer C. The initial therapeutic management of acute bacterial meningitis includes isolation precautions, initiation of antimicrobial therapy and maintenance of optimum hydration. Nurses should take necessary precautions to protect themselves and others from possible infection.
2. Answer D. Contact or Body Substance... Continue Reading
Safety and Infection Control NCLEX Questions
1. A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the following nursing measures should the nurse do FIRST?
a. Institute seizure precautions
b. Assess neurologic status
c. Place in respiratory isolation
d. Assess vital signs
2. A client is diagnosed with methicillin resistant... Continue Reading
NCLEX Sample Questions Pediatric Nursing Part 2 Answers and Rationale
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Answer C. In a 6-year-old child, a precarious sense of self causes overreaction to criticism and a sense of inferiority. By age 6, most children no longer depend on the parents for daily tasks and love the routine of a schedule. Tattling is more common at age 4 to 5, by age 6, the child wants to make friends and be a friend.
Answer C. The nurse always should... Continue Reading