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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A client with inflammatory bowel disease (IBD) requires an ileostomy. The nurse would instruct the client to do which of the following measures as an essential part of caring for the stoma?

Correct Answer: D

Rationale: Meticulous cleansing of the peristomal skin prevents irritation and infection, which is critical for ileostomy care.

Question 2 of 5

Which action by the novice nurse indicates a need for further teaching?

Correct Answer: A

Rationale: Failing to wear gloves violates infection control standards.

Question 3 of 5

The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:

Correct Answer: B

Rationale: A trough level for vancomycin is drawn just before the next dose (e.g., 30 minutes before the fourth infusion) to assess the lowest drug concentration.

Question 4 of 5

The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Correct Answer: B

Rationale: irreversible disease that leads to permanent physical limitations

Question 5 of 5

The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:

Correct Answer: D

Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.

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