NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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NCLEX Trainer Test 10 Questions

Extract:

A patient is returned from surgery with a Jackson-Pratt drain in place. The nurse observes a student nurse perform a dressing change for the patient.


Question 1 of 5

Which of the following activities if performed by the student nurse would require an intervention by the nurse?

Correct Answer: B

Rationale: Strategy: 'Require an intervention' indicates an incorrect response. (1) drains used to prevent wound infections and abscess formation (2) correct-drain should be attached to patient's gown or pajamas, never to the sheet or mattress (3) Jackson-Pratt drain is a self-contained suction device that is emptied as needed (4) important to monitor output

Extract:


Question 2 of 5

The nurse is teaching a client with newly diagnosed diabetes mellitus how to treat hypoglycemia at home. The nurse should instruct the client to do which of the following actions if symptoms of hypoglycemia are experienced?

Correct Answer: B

Rationale: will correct hypoglycemia and stabilize blood sugar

Question 3 of 5

A 5-year-old boy is brought to the emergency room after ingesting a bottle of baby aspirin. The nurse should observe the boy for which of the following signs and symptoms?

Correct Answer: D

Rationale: symptoms of overdose

Question 4 of 5

While performing care for a 72-year-old woman, the nurse notices that the patient has a dry, parched mouth and tongue. The nurse should

Correct Answer: C

Rationale: will hydrate the mucous membranes and keep mouth clean

Question 5 of 5

When assessing orientation to person, place, and time for an elderly hospitalized client, which of the following principles should be understood by the nurse?

Correct Answer: B

Rationale: stress of an unfamiliar situation or environment may lead to confusion in elderly clients

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