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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?

Correct Answer: A

Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.

Question 2 of 5

The nurse is doing a digital removal of stool for a client with a large fecal impaction resulting from opioid use when the client feels faint, and assessment of vital signs shows a marked decrease in pulse. Which of the following is the most likely reason for the change in pulse rate?

Correct Answer: A

Rationale: Digital stool removal can stimulate the vagus nerve (
A), causing bradycardia and faintness. Shock (
B), bleeding (
C), or anxiety (
D) are less likely.

Question 3 of 5

A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

Correct Answer: C

Rationale: Simple signs help orient clients with Alzheimer's, reducing confusion and promoting independence in a new environment.

Question 4 of 5

Which of the following actions does NOT require the use of standard precautions?

Correct Answer: C

Rationale: Standard precautions are required for contact with blood, urine, and vomit due to potential infectious agents. Sweat is not considered a significant risk for transmission.

Question 5 of 5

The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse?

Correct Answer: B

Rationale: Reporting to the charge nurse ensures proper investigation.

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