Questions 150

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Exam Practice Questions Questions

Extract:


Question 1 of 5

The nursing staff has finished restraining a client. In addition to determining whether anyone was injured, the staff is mandated to evaluate the incident to obtain which of the following ultimate outcomes?

Correct Answer: C

Rationale: Evaluating restraint incidents aims to improve procedures, ensuring safer and more effective use in the future. Documentation and calming down are secondary, and resolving feelings is not the primary goal.

Question 2 of 5

A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is prescribed tiotropium (Spiriva). The nurse should instruct the client to:

Correct Answer: B

Rationale: Rinsing the mouth after using tiotropium prevents oral candidiasis, a common side effect of inhaled anticholinergics.

Question 3 of 5

A nurse is caring for a client with a new colostomy. Which of the following actions should the nurse include in the teaching plan to prevent skin breakdown around the stoma?

Correct Answer: A

Rationale: A skin barrier protects the peristomal skin from irritation caused by stool. Soap can irritate the skin, leaving the pouch off risks exposure, and petroleum jelly is not recommended.

Question 4 of 5

You have been conducting a weekly outpatient stress management educational series for clients in the community who are hypertensive. The best way to evaluate the effectiveness of this educational series is to:

Correct Answer: A

Rationale: Collecting and comparing blood pressure data before, during, and after the series provides objective evidence of the program's effectiveness in managing hypertension.

Question 5 of 5

The nurse has explained the reason that the primary health care provider has chosen laser surgery to treat a client's cervical cancer. Which statement by the client indicates an understanding of the explanation?

Correct Answer: D

Rationale: Laser therapy is performed in an outpatient setting and is used when all boundaries of the lesion are visible. Laser surgery is painless, and the client would not receive general anesthesia. Laser therapy does not prevent regrowth.

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