NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:


Question 1 of 5

The nurse observes the following patients in the emergency department (ED). The FIRST patient the nurse should see is the

Correct Answer: A

Rationale: possibility of internal bleeding, life-threatening situation

Question 2 of 5

Which of the following strategies would be MOST therapeutic as the nurse tries to analyze a bulimic client's eating habits and the circumstances that precipitate the client's eating problems?

Correct Answer: C

Rationale: implementation, nurse is trying to analyze and understand what triggers the client's binging and purging activities, so therapeutic nursing intervention of assigning a thought/feelings/actions (T/F/
A) journal relating to client's eating behaviors will be most helpful to the nurse and therapeutic to the client; after this information is gained and reviewed, collaboration by the nurse and client on other strategies such as delay and distraction techniques, stress reduction, and developing a 'lifeline' in relation to eating behaviors will further benefit the client

Extract:

A patient is returned from surgery with a Jackson-Pratt drain in place. The nurse observes a student nurse perform a dressing change for the patient.


Question 3 of 5

Which of the following activities if performed by the student nurse would require an intervention by the nurse?

Correct Answer: B

Rationale: Strategy: 'Require an intervention' indicates an incorrect response. (1) drains used to prevent wound infections and abscess formation (2) correct-drain should be attached to patient's gown or pajamas, never to the sheet or mattress (3) Jackson-Pratt drain is a self-contained suction device that is emptied as needed (4) important to monitor output

Extract:

A client who has just indicated a wish to kill herself and asks the nurse not to tell anyone.


Question 4 of 5

The nurse's BEST response should be to

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) does not answer client's immediate concern or give client accurate information about what the nurse will do (2) does not answer client's immediate concern or give client accurate information about what the nurse will do (3) correct-nurse must let the client know that this information will be shared with the staff so that the client's safety can be preserved (4) does not answer client's immediate concern or give client accurate information about what the nurse will do

Extract:


Question 5 of 5

A four-week-old infant with symptoms of pyloric stenosis is brought to the outpatient clinic by his mother. Which of the following statements would the nurse expect the mother to make about her son's symptoms?

Correct Answer: C

Rationale: becomes lethargic, dehydrated, and malnourished

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