NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

Question 2 of 5

The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

Correct Answer: D

Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.

Question 3 of 5

The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:

Correct Answer: D

Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.

Question 4 of 5

The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?

Correct Answer: A

Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.

Question 5 of 5

An elderly client has a stage II pressure ulcer on her sacrum. During assessment of the client's skin, the nurse would expect to find:

Correct Answer: B

Rationale: A stage II pressure ulcer involves partial-thickness skin loss, appearing as a shallow crater with a nonpainful wound base.

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