Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:

Correct Answer: C

Rationale: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.

Question 2 of 5

The nurse is teaching a client who is taking cyclosporine after renal transplant about medication information. The nurse should tell the client to be especially alert for which problem?

Correct Answer: D

Rationale: Cyclosporine is an immunosuppressant medication used to prevent transplant rejection. The client should be especially alert for signs and symptoms of infection while taking this medication and report them to the primary health care provider if experienced. The client is also taught about other side/adverse effects of the medication, including hypertension, increased facial hair, tremors, gingival hyperplasia, and gastrointestinal complaints. Some weight loss may occur, but this is not as significant as the onset of an infection.

Question 3 of 5

The nurse performing tracheostomy care has replaced the tracheostomy tube holder (tracheostomy ties). Which is an effective measure for the nurse to use when determining if the holder is not too tight?

Correct Answer: B

Rationale: There should be enough room for two fingers to slide comfortably under the tracheostomy holder. This ensures that the holder is tight enough to prevent tracheostomy dislocation, while preventing excessive constriction around the neck. The other options are incorrect.

Question 4 of 5

The nurse is preparing a presentation on nutrition to a group of pregnant adolescents. Which of the following would be important for the nurse to include in the teaching plan?

Correct Answer: C

Rationale: Three or more servings of dairy products provide adequate calcium, essential for fetal development and maternal bone health during pregnancy.

Question 5 of 5

A client with a history of heart failure is admitted with dyspnea. The nurse should place the client in which of the following positions?

Correct Answer: A

Rationale: Fowler's position (semi-upright) reduces preload and eases breathing in heart failure.

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