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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?

Correct Answer: A

Rationale: Aspirating stomach content confirms nasogastric tube placement, preventing aspiration.

Question 2 of 5

The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.

Correct Answer: A, D, E

Rationale: Providing community resources, social worker contact, and home safety information supports the family’s decision and promotes safety. Discussing provider disapproval or assisted living advantages is inappropriate.

Question 3 of 5

A nurse needs to draw a blood sample from a patient's central line. The line is currently infusing Ringer's lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.

Order the Items

Source Container

attach the flush syringe and flush catheter with normal saline
stop the infusion and disconnect Ringer's lactate
withdraw a blood sample and discard
scrub the catheter hub
withdraw the blood sample for the lab

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

Rationale: Order: Stop infusion (
B), scrub hub (
D), withdraw/discard blood (
C), flush with saline (
A), withdraw lab sample (E). This ensures a clean, accurate sample.

Question 4 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 5 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

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