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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to

Correct Answer: D

Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.

Question 2 of 5

A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?

Correct Answer: A

Rationale: Diabetes insipidus causes excessive water loss due to low ADH, leading to polyuria. The other symptoms are unrelated.

Question 3 of 5

When assessing the client with acute arterial occlusion, the nurse would expect to find:

Correct Answer: B

Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.

Question 4 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

Question 5 of 5

The nurse is precepting a student nurse on the postsurgical floor. The student nurse needs to draw a potassium level. Which of the following statements by the student nurse is correct regarding blood draws from venous catheters?

Correct Answer: B

Rationale: Flushing with 10–20 mL of saline after drawing blood from a catheter prevents clotting and maintains patency. Peripheral catheters are not ideal for blood draws, central lines carry risks, and large needles can cause hemolysis.

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