Questions 151

NCLEX-RN

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Question 1 of 5

Select the basic sterile asepsis procedures that are accurate. Select all that apply:

Correct Answer: A,C,E

Rationale: Sterile items only on the sterile field , coughing/sneezing contaminating the field , and moisture contaminating the field are accurate sterile asepsis principles. The sterile field must be above waist level (B is incorrect), a 1-inch border is standard (D is incorrect), and masks are not required for clients (F is incorrect).

Question 2 of 5

The nurse is caring for a client post-myocardial infarction. Which activity should the nurse encourage to promote recovery?

Correct Answer: B

Rationale: Light ambulation as tolerated promotes circulation and prevents complications like deep vein thrombosis, while avoiding overexertion post-myocardial infarction.

Question 3 of 5

Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?

Correct Answer: A

Rationale: Both restraints and urinary catheters can lead to infections restraints through skin breakdown and catheters through urinary tract infections if not managed properly.

Question 4 of 5

The nurse is caring for a client with a history of burns. Which of the following complications should the nurse monitor for in the acute phase?

Correct Answer: A

Rationale: Hypovolemia is a major complication in the acute phase of burns due to fluid loss.

Question 5 of 5

The nurse is administering eyedrops to a client with glaucoma. Which of the following is a correct technique for instilling the eyedrops? The eyedrops are placed:

Correct Answer: A

Rationale: Placing eyedrops in the lower conjunctival sac ensures proper absorption and minimizes irritation or injury to the cornea or sclera.

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