1. (B) Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.
2. (B) The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.
3. (A) All of these factors indicate a DVT.
4. (B) Pain may be indicating neurovascular complication.
5. (B) Stimulation in the form of pictures may decrease signs of confusion.
6. (D) Adolescents exhibiting signs of sexual development and interest are normal.
7. (C) Observation of the student’s hair is the next step.
8. (A) Nursing assistants should be competent on all transfers.
9. (D) All protective measures must be worn, it is not required to double glove.
10. (A) The cane should be placed in the patient’s strong upper extremity, and left arm/right foot go together, for normal gait.
11. (B) The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.
12. (C) Both the family and the patient should have the need for restraints explained to them.
13. (B) The suicide plan may have been decided.
14. (A) Thrush may be occurring and the patient may need Nystatin.
15. (D) Do not administer pain medication or start a central line without MD orders.
16. (B) Check the intake and output prior to making any decisions about patient care.
17. (B) Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
18. (A) Negative culture results would indicate absence of infection.
19. (A) Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.
20. (B) The Mantoux is the most accurate test to determine the presence of TB.
Join our mailing list and enjoy premium NCLEX Review materials right on your email!
Your success is our success!
- You'll also get NCLEX Tips and Strategies.
- Special discounts to NCLEX materials.
- Exclusive NCLEX Discussion forum!
- Latest news about NCLEX and Nursing!
Related posts:
- NCLEX RN Example Test Questions with Answers and Rationale 3Psychosocial Integrity 1. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Center for an initial therapy meeting with the staff. The nurse explains that one of the...
- NCLEX Practice Test with Answers and RationaleHere is another batch of sample NCLEX questions. We hope by providing a sample NCLEX test and NCLEX quiz like these will help you take the tension out and make you feel confident before taking...
- FREE Online NCLEX-RN Practice ExamOne of the most important steps in becoming an RN is taking the National Council Licensure Examination for Registered Nurses (NCLEX-RN). This exam measures the skills necessary to work safely and effectively as an entry-level...
- NCLEX RN Example Test Questions with Answers and RationaleSafe and Effective Care Environment 1. A 68-year-old woman is diagnosed with thrombocytopenia due to acute lymphocytic leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient (A) to a...
- NCLEX RN Example Test Questions with Answers and Rationale 2Health Promotion and Maintenance 1. An 18-year-old woman comes to the physician’s office for a routine prenatal checkup at 34 weeks gestation. Abdominal palpation reveals the fetal position as right occipital anterior (ROA). At which...
16/20 lol..