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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The computers for documenting client care and treatment are located at the nursing station. Which of the following is the most important consideration regarding the computers?

Correct Answer: C

Rationale: Positioning computer screens away from unauthorized viewers (
C) protects patient confidentiality, a critical aspect of HIPAA compliance. Height (
A), ratio (
B), and brand (
D) are secondary considerations.

Question 2 of 5

Whole blood is primarily indicated for which of the following purposes?

Correct Answer: A

Rationale: Whole blood is primarily used to treat extreme loss of blood volume (
A), such as in hemorrhagic shock, as it restores both volume and oxygen-carrying capacity. Clotting factors (
B), anemia (
C), and acute bleeding (
D) may require specific blood components instead.

Question 3 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.

Question 4 of 5

In terms of cognitive development, a 2-year-old would be expected to:

Correct Answer: B

Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.

Question 5 of 5

The home health nurse is visiting an elderly client following a hip replacement. Which finding requires further teaching?

Correct Answer: C

Rationale: A soft, low sofa can make it difficult for a client with a hip replacement to stand up safely, increasing the risk of falls or injury.

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