Questions 150

NCLEX-RN

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Question 1 of 5

When witnessing an adult client's signature on a consent for a procedure, the nurse verifies that the consent was obtained in an appropriate manner. The nurse should verify which of the following? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Informed consent requires adequate disclosure, client understanding, voluntary consent, and awareness of complications. A relative's presence is not mandatory unless the client is incapacitated.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of asthma about the use of a spacer with a metered-dose inhaler. Which of the following instructions is most important?

Correct Answer: C

Rationale: Cleaning the spacer weekly prevents bacterial buildup, ensuring safe and effective medication delivery.

Question 3 of 5

The nurse asks the client to sign a consent form before undergoing surgery. The client indicates that he was not told about the risks of the surgical procedure. Which of the following statements by the nurse is most appropriate?

Correct Answer: C

Rationale: Ensuring the client's questions about risks are answered before signing consent is critical for informed consent, requiring the nurse to contact the surgeon.

Question 4 of 5

The nurse is caring for a neonate with respiratory distress syndrome. Which intervention should the nurse anticipate?

Correct Answer: A

Rationale: Surfactant administration is the primary treatment for respiratory distress syndrome in neonates, improving lung compliance and oxygenation.

Question 5 of 5

A postoperative client has a Jackson-Pratt drain. Which finding should the nurse report immediately?

Correct Answer: B

Rationale: Bright red drainage suggests active bleeding, a serious complication requiring immediate reporting.

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