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

Questions 149

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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 caring for a client with a long history of taking magnesium hydroxide for managing symptoms of peptic ulcer disease. Which finding in the client's medical history would be of concern to the nurse?

Correct Answer: C

Rationale: Magnesium hydroxide can cause fluid retention, worsening heart failure. Other conditions are not directly affected.

Question 3 of 5

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

Correct Answer: C

Rationale: Repositioning the client can relieve umbilical cord compression, the common cause of variable decelerations.

Question 4 of 5

If a nurse accidentally punctures a finger with a needle after withdrawing blood from a client, which of the following actions should be carried out first?

Correct Answer: B

Rationale: Washing the puncture with soap and water (
B) is the first step to reduce infection risk. Other actions (A, C,
D) follow.

Question 5 of 5

The nurse is caring for a client who has stage 3 lung cancer and is in renal failure. The client indicates that he does not wish to have life-sustaining treatment and wants to die a natural death. What document does the nurse anticipate this client completing? Fill in the blank.

Correct Answer: B

Rationale: Living Will (
B) is the correct answer, as it documents a client’s preferences for medical treatment, such as refusing life-sustaining measures, aligning with the client’s wish to die naturally without such interventions.

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