NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is caring for a client receiving mechanical ventilation. Which action prevents ventilator-associated pneumonia?

Correct Answer: A

Rationale: Elevating the head of the bed reduces aspiration risk, a key factor in preventing ventilator-associated pneumonia.

Question 2 of 5

The nurse is teaching a client about self-administration of insulin. Which site is most appropriate for insulin injection?

Correct Answer: D

Rationale: The abdomen has consistent subcutaneous tissue and rapid absorption, making it ideal for insulin injections.

Question 3 of 5

A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects.

Question 4 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 5 of 5

While walking down the hallway, a nurse notices that a coworker has left the computer screen on while still logged into the system. A newly admitted client's sexual history is visible. The nurse leaves the screen as it is and tries to locate the coworker. Upon returning, the nurse sees that a visitor is reading the computer screen. Who is responsible for this Health Insurance Portability and Accountability Act (HIPAA) violation? Select all that apply.

Correct Answer: B

Rationale: The coworker who left the computer unattended with protected health information visible is primarily responsible for the HIPAA violation.

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