NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

Correct Answer: B

Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.

Question 2 of 5

A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

Correct Answer: B

Rationale: Facial burns increase the risk of laryngeal edema due to inhalation injury, which can compromise the airway and is the most immediate concern.

Question 3 of 5

Place the following metric capacity measures (in Roman numerals) in the correct position from smallest to largest. I. Deciliter II. Milliliter III. Dekaliter IV. Kiloliter. V. Hectoliter.

Order the Items

Source Container

Deciliter
Milliliter
Dekaliter
Kiloliter.
Hectoliter.

Correct Answer: B,A,E,C,D

Rationale: The correct order from smallest to largest is: Milliliter (II), Deciliter (I), Hectoliter (V), Dekaliter (III), Kiloliter (IV), fitting the table positions with Centiliter (
A) and Liter (
B) as reference points.

Question 4 of 5

The nurse is assessing a client who has a sacral pressure ulcer. The wound has partial thickness, loss of dermis, and a red-pink wound bed. No slough is present. How would the nurse chart this wound?

Correct Answer: B

Rationale: A partial-thickness ulcer with loss of dermis and a red-pink bed is Stage II. Stage I is non-blanchable redness, Stage III involves full-thickness loss, and Stage IV exposes muscle or bone.

Question 5 of 5

The nurse is teaching a newly diagnosed client about Crohn's disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.

Correct Answer: B, D

Rationale: Low literacy and lack of access to health resources are socioeconomic barriers to learning, while cognitive delays and lack of interest are not strictly socioeconomic, and adequate insurance is not a barrier.

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