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

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Safe and Effective Care Environment NCLEX Review Questions Answers and Rationale

View Questions 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

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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

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NCLEX RN Questions for Health Promotion and Maintenance Answers and Rationale

View Questions 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

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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

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NCLEX-RN Safe and Effective Care Environment Answers and Rationale

View Questions 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

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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.   

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Psychosocial Integrity NCLEX Review Questions Part 2 Answers and Rationale

View Questions 1.    Answer A. The nature of the accident, the child’s pain, and the unfamiliar facility environment support a nursing diagnosis of Anxiety. A diagnosis of Hypothermia related to head injury isn’t appropriate because the child is alert and oriented, indicating

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Psychosocial Integrity NCLEX Review Questions Part 2

1.    After a car accident, Jessy, age 10, is treated in the emergency department for a fractured clavicle and evaluated for a possible head injury. Alert and oriented, she keeps asking what will happen to her. Which nursing diagnosis is most appropriate?

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Health Promotion and Maintenance NCLEX RN Review Questions Answers and Rationale

View Questions 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.

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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.   

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