NCLEX Questions, NCLEX RN Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering the room to care for the client, when are gloving and gowning necessary?

Correct Answer: C

Rationale: Contact precautions for MRSA require gloving and gowning upon entering the room (
C) for any patient or environmental contact to prevent transmission. Limited contact (A,
B) or uncontained drainage (
D) does not override the need for full precautions.

Question 2 of 5

A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

Correct Answer: A

Rationale: Acute adrenal crisis causes low blood pressure due to insufficient cortisol and aldosterone, leading to hypovolemia and shock.

Question 3 of 5

The director of nursing is working on an occupational health and safety manual for the staff. She wants to include a section describing how factors in the environment can increase safety and reduce risk and injury. The term for this study is

Correct Answer: C

Rationale: Ergonomics studies workplace design to enhance safety and reduce injury risk, aligning with the manual’s goals.

Question 4 of 5

The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.

Correct Answer: B,D,E

Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).

Question 5 of 5

The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?

Correct Answer: C

Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.

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