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Questions 149

NCLEX-RN

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Question 1 of 5

Which information should be reported to the state Board of Nursing?

Correct Answer: B

Rationale: Incorrect narcotic counts suggest potential diversion or mismanagement of controlled substances, which must be reported to the state Board of Nursing.

Question 2 of 5

The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client's bedside table. There is no label to indicate the date or time of initial use. The nurse should:

Correct Answer: B

Rationale: Using an unlabeled, previously opened saline bottle risks contamination; a new, labeled bottle ensures sterility.

Question 3 of 5

A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The dysrhythmia most commonly seen during suctioning is:

Correct Answer: A

Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation.

Question 4 of 5

A new graduate nurse has an argument with a coworker regarding how the medication cart should be organized. The nurse asks his coworker to step into the break room to discuss their disagreement. This is an example of what type of conflict management?

Correct Answer: B

Rationale: Confronting involves directly addressing conflict through discussion, as the nurse does by initiating a private conversation.

Question 5 of 5

The nurse is suspected of charting medication administration that he did not give. The nurse can be charged with:

Correct Answer: A

Rationale: Falsifying medical records, such as charting unadministered medications, constitutes fraud.

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