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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?

Correct Answer: B

Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.

Question 2 of 5

The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for

Correct Answer: A

Rationale: standard, unchanging procedure

Question 3 of 5

The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?

Correct Answer: C

Rationale: if wet dressing touches skin it could cause skin breakdown

Question 4 of 5

A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?

Correct Answer: C

Rationale: adequate hydration is a priority for any client with sickle cell crisis

Question 5 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: vomiting contraindicated when child ingests hydrocarbons due to danger of aspiration

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