NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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NCLEX RN Practice Tests Questions

Extract:


Question 1 of 5

The nurse is working with an unlicensed assistive personnel (UAP). In planning the morning's care, which tasks can the nurse delegate to the UAP? Select all that apply.

Correct Answer: A, C

Rationale: Feeding and assisting a stable client to the commode are within the UAP’s scope, while starting an IV, checking an apical pulse, and ambulating a post-surgical client require nursing judgment.

Question 2 of 5

The nurse is assessing a client with suspected diverticulitis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fever and left lower quadrant pain are common in diverticulitis due to inflammation in the sigmoid colon

Question 3 of 5

A 19-year-old male with type 1 diabetes has the flu. The nurse expects what insulin changes may be required during the illness?

Correct Answer: B

Rationale: Illness increases insulin resistance due to stress hormones, often requiring more insulin to manage hyperglycemia in type 1 diabetes.

Question 4 of 5

A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:

Correct Answer: B

Rationale: Washing the skin with water and patting dry ensures cleanliness and prevents irritation during hyperbaric oxygen therapy.

Question 5 of 5

A client on a 72-hour psychiatric hold experiences a panic attack while getting ready for the day. The nurse should provide the following interventions ranked by priority:

Order the Items

Source Container

stay with the client until the panic attack is over
incorporate physical activity into the client's daily routine
instruct the client to take slow, deep breaths
reduce external stimuli in the immediate area
work with the client to develop coping mechanisms

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

Rationale: Priority order: Stay with the client (
A) for safety, reduce stimuli (
D) to calm the environment, instruct deep breathing (
C) to manage symptoms, develop coping mechanisms (E) for future prevention, and incorporate physical activity (
B) as a long-term strategy.

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