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

All of the following clients are at an increased risk for aspiration pneumonia EXCEPT

Correct Answer: B

Rationale: Aspiration pneumonia risk is high with nasogastric feeding, mechanical ventilation, and dysphagia due to potential airway entry of material.
Total parenteral nutrition (IV) bypasses the airway, reducing aspiration risk.

Question 2 of 5

The nurse is caring for a client with osteoporosis who is being discharged on (alendronate) Fosamax. Which statement would indicate a need for further teaching?

Correct Answer: A

Rationale: Alendronate (Fosamax) should be taken in the morning on an empty stomach, not before bedtime, to prevent esophageal irritation. The other statements are correct.

Question 3 of 5

The nurse is teaching a client with rheumatoid arthritis about joint protection techniques. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: B

Rationale: using large joints for tasks reduces stress on smaller joints, which is a key principle in joint protection

Question 4 of 5

The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:

Correct Answer: D

Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).

Question 5 of 5

The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:

Correct Answer: A

Rationale: The phlebostatic axis (4th intercostal space, mid-axillary line) is the standard reference point for accurate central venous pressure measurement.

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