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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A patient is admitted to the surgical unit with a diagnosis of rule out intestinal obstruction. The nurse is preparing to insert a Salem sump NG tube as ordered. In which of the following positions would it be BEST for the nurse to place this patient during the procedure?

Correct Answer: B

Rationale: Positioning the patient with the head of the bed elevated 60°-90° (high Fowler’s position) facilitates swallowing and allows gravity to aid the passage of the nasogastric (NG) tube through the esophagus into the stomach. This position reduces the risk of aspiration and eases tube insertion. Lower elevations (30°-45°), side-lying, or flat positions do not optimize swallowing or tube advancement as effectively.

Question 2 of 5

A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?

Correct Answer: D

Rationale: The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.

Extract:

A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.


Question 3 of 5

Which of the following would you most likely suspect?

Correct Answer: C

Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.

Extract:


Question 4 of 5

The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?

Correct Answer: C

Rationale: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.

Question 5 of 5

The nurse is providing discharge teaching for a client with a history of alcoholism. Which of the following statements, if made by the client, indicates that the client understands the teaching?

Correct Answer: A

Rationale: Complete abstinence is required for alcoholism recovery, including avoiding alcohol-containing products like cough medicines, which could trigger relapse. Diluted drinks (
B) or nonalcoholic beer (
C) risk relapse due to taste cues, and stopping disulfiram prematurely (
D) increases relapse risk.

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