NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action should the nurse take to accomplish this procedure safely and effectively?
Correct Answer: C
Rationale: The safe wall suction range for an adult is 80 to 120 mm Hg, making option 3 the action that is consistent with safe and effective practice. The nurse should hyperoxygenate the client both before and after suctioning. The nurse should use intermittent suction in the airway (not constant) for up to 10 to 15 seconds. The nurse should advance the catheter into the tracheostomy without occluding the Y-port to minimize mucosal trauma and aspiration of the client's oxygen.
Question 2 of 5
Which of the following conditions is a potential consequence of a prolonged QT interval?
Correct Answer: B
Rationale: A prolonged QT interval increases the risk of ventricular dysrhythmias, such as torsades de pointes, which can be life-threatening.
Question 3 of 5
When educating unlicensed assistants on how to prevent the development of pressure ulcers, the nurse should emphasize that most tissue injuries related to shearing can be prevented by implementing which of the following activities?
Correct Answer: C
Rationale: Proper positioning and moving techniques prevent shearing injuries, which occur when skin slides over a surface, damaging tissue. Turning schedules and clean skin help but are less specific to shearing.
Question 4 of 5
Which statement about targeted assessments is accurate?
Correct Answer: A
Rationale: Targeted assessments focus on specific health issues based on the nurse's knowledge of pathophysiology and the patient's presenting symptoms, allowing for a focused evaluation rather than a comprehensive one.
Question 5 of 5
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to:
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation and enhances absorption.