Questions 150

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NCLEX RN Test Bank with Rationales Questions

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Question 1 of 5

When preparing a 3-year-old child for blood specimens to be drawn for laboratory testing, the nurse should?

Correct Answer: C

Rationale: Distraction techniques are most effective for a 3-year-old during painful procedures like blood draws, as they have limited understanding of explanations. Simple preparation may help, but distraction is key.

Question 2 of 5

The client with a nasogastric (NG) tube begins to complain of abdominal distention. Which of the following measures should the nurse implement first?

Correct Answer: C

Rationale: Checking the suction equipment ensures the NG tube is functioning properly, addressing the most likely cause of distention before escalating to other interventions.

Question 3 of 5

The nurse is caring for a client post-laparoscopic cholecystectomy. Which discharge instruction is most important?

Correct Answer: B

Rationale: Fever or jaundice post-cholecystectomy may indicate complications like infection or bile duct injury, requiring immediate reporting.

Question 4 of 5

A young adult has been bitten by a human and the skin on the forearm is broken. The client's last tetanus shot was about 8 years ago. The nurse should prepare the client to receive:

Correct Answer: A

Rationale: A human bite with broken skin and a tetanus shot over 5 years ago warrants tetanus toxoid to prevent tetanus infection. The other options are not indicated for this scenario.

Question 5 of 5

Which statement about total parenteral nutrition is true?

Correct Answer: C

Rationale: The Valsalva maneuver is used when changing TPN tubing to prevent air embolism by increasing intrathoracic pressure.

Similar Questions

You have collected, aggregated and analyzed data which reflects the frequency of your staff returning medical equipment to the appropriate department because the staff members thought it was too unsafe to use. After the experts in the medical equipment inspect and test the equipment they report back to you, as the nurse manager, whether or not the equipment was indeed unsafe. This data indicates that 83% of the returns that were made by your staff were deemed safe and operable. What should you do?
The nurse is planning a program about women's health and cancer prevention for a community health fair. The nurse should include information about? Select all that apply.
The nurse is caring for a client with a history of burns. Which of the following laboratory findings indicates a need for intervention?
A client with a history of anxiety is prescribed buspirone (Buspar). The nurse should teach the client that the medication:
A client is scheduled for an intravenous pyelogram (IVP). Which of the following questions would be most important for the nurse to ask the client in preparation for the procedure?

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