NCLEX Questions, NCLEX RN Practice Questions Questions, NCLE

Extract:

Question 1 of 5

An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?

Correct Answer: C

Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.

Question 2 of 5

The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?

A. Inject the medication in the deltoid muscle B. Use a 22-gauge needle C. Omit aspirating for blood before injecting D. Draw up 0.2 mL of air after the proper medication dose

Correct Answer: D

Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.

Question 3 of 5

The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

A. Pain, coolness, and blue discoloration in the affected joint B. Tingling and pain without loss of movement in the affected joint C. Warmth, redness, and decreased movement in the affected joint D. Stiffness, aching, and decreased movement in the affected joint

Correct Answer: D

Rationale: Hemarthrosis in hemophilia involves bleeding into joints, causing stiffness, aching, and reduced movement due to joint swelling and pain.

Question 4 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

A. An angry daughter is threatening to sue the hospital because her confused mother fell out of bed during the previous shift. B. The nursing assistant is 30 minutes overdue from a dinner break in the cafeteria for the third time this week. C. The physician calls the unit to ask the nurse to obtain a client’s latest serum electrolyte results from the lab. D. The husband of a client reports to the nurse that his wife’s nose began bleeding after she returned from radiation therapy.

Correct Answer: D

Rationale: should assess client to determine amount and cause of bleeding

Question 5 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

A. The nurse leaves the stethoscope in the client's room for future use. B. The nurse cleans the stethoscope with alcohol and returns it to the exam room. C. The nurse uses the stethoscope to assess the blood pressure of other assigned clients. D. The nurse cleans the stethoscope with water, dries it, and returns it to the nurse's station.

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

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Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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