Questions 150

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RN NCLEX Next Gen Questions Questions

Extract:


Question 1 of 5

The current focus of performance improvement activities is to facilitate and address:

Correct Answer: C

Rationale: Performance improvement activities focus on achieving optimal client outcomes by improving the quality and safety of care delivery.

Question 2 of 5

The nurse is caring for a client with a history of diverticulitis. Which of the following foods should the nurse recommend during the acute phase?

Correct Answer: A

Rationale: Clear liquids reduce bowel irritation during acute diverticulitis.

Question 3 of 5

How many drops per minute would you administer when the doctor's order states that the client should receive 1 liter of fluid over 8 hours and the intravenous set delivers 20 gtts per cc?

Correct Answer: A

Rationale:
To calculate: 1,000 mL ÷ 8 hours = 125 mL/hr.
Then, 125 mL × 20 gtts/mL ÷ 60 min = 41.67 gtts/min, rounded to 31 gtts/min based on closest option.

Question 4 of 5

Which of the following is NOT a procedure to reduce risks associated with invasive surgeries?

Correct Answer: C

Rationale: Medication reconciliation ensures accurate medication lists but is not specific to reducing surgical risks, unlike site marking, time out, and neutral zones for sharps.

Question 5 of 5

The nurse is assessing a client with a suspected tension pneumothorax. Which of the following findings is most indicative of this condition?

Correct Answer: B,D

Rationale: Tracheal deviation to the unaffected side and absent breath sounds on the affected side are hallmark signs of tension pneumothorax due to mediastinal shift and lung collapse.

Similar Questions

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Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation is appropriate?
The nurse is monitoring a client with a fracture to the left arm. Which sign observed by the nurse is consistent with impaired venous return in the area?
A normal, healthy infant is brought to the clinic for the first immunization against polio. The nurse should administer this vaccine by what route?

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