NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

A client with a history of a seizure disorder is being prepared for an EEG. The nurse should:

Correct Answer: A

Rationale: Washing the client’s hair ensures a clean scalp for electrode placement during an EEG, improving accuracy. Chest electrodes, sedatives, and fluid restriction are not required.

Question 2 of 5

A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

Correct Answer: D

Rationale: Radiation site markings must be preserved for accurate treatment. Soap, lotion, or other substances can remove markings, so they should be avoided. Covering or powdering is unnecessary.

Question 3 of 5

The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?

Correct Answer: D

Rationale: O negative blood is the universal donor, safe for transfusion without type and crossmatch in emergencies. AB positive (
A), AB negative (
B), and O positive (
C) risk incompatibility.

Question 4 of 5

During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:

Correct Answer: D

Rationale: (A,
B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.

Question 5 of 5

Place in sequence the correct method of removal of contaminated personal protective equipment.

Question Image

Correct Answer: B, C, D, A

Rationale:
To remove PPE safely: First, remove gloves (
B) to avoid contaminating hands. Next, remove the gown (
C) by pulling it away from the body.
Then, remove eyewear (
D) by handling the sides. Finally, remove the mask (
A) by touching only the ties to prevent respiratory exposure.

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