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NCLEX RN Practice Questions Quizlet Questions

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Question 1 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 2 of 5

A client with an artificial eye is too ill to remove the eye, but the lids are crusted and irritated, so the nurse must remove the prosthesis for cleaning and to inspect the eye socket. The nurse has washed hands and applied disposable gloves. Place the remaining steps to removing the prosthesis (Roman numerals) in the correct order.

Order the Items

Source Container

Gently retract the upper lid.
Exert slight pressure below the eyelid and slip index finger under prosthesis.
Break suction and slide prosthesis out of eye.
Gently retract the lower eyelid against the orbital ridge with the thumb.

Correct Answer: A,D,B,C

Rationale: Prosthesis removal: Retract upper lid (I), retract lower lid (IV), slip finger under prosthesis (II), break suction and remove (III).

Question 3 of 5

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

Correct Answer: A

Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.

Question 4 of 5

The client with cancer refuses to care for herself. Which action by the nurse would be best?

Correct Answer: C

Rationale: Exploring the reason for the lack of motivation addresses the root cause, enabling tailored interventions to encourage self-care.

Question 5 of 5

A client has signed the consent form for a right radical mastectomy. Shortly before the client is to be taken to surgery, she tells the nurse, 'I'm not really sure that this is what I want to do. Everything was so sudden.' Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: This response encourages the client to express her concerns, facilitating informed consent and addressing her doubts.

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