Nclex Questions Management of Care

Question 1 of 5

To ensure proper immobilization and increase client comfort when using a rigid splint, what should be done?

A. Place the client on a stretcher before splinting. B. Place the client on a long spine board before splinting. C. Pad the spaces between the body part and the splint. D. Ensure that the splint conforms to the body curves.

Correct Answer: C

Rationale: Correct. When using a rigid splint, it is essential to pad the spaces between the body part and the splint to ensure proper immobilization and increase client comfort. This padding helps prevent pressure points and ensures a proper fit of the splint without causing discomfort. Placing the client on a stretcher or a long spine board before splinting (choices A and
B) may be necessary for transportation but does not directly relate to the proper use of a rigid splint. Ensuring that the splint conforms to the body curves (choice
D) is important but not as crucial as padding the spaces to prevent discomfort and ensure proper immobilization.

Question 2 of 5

A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:

A. the client has been admitted to the hospital three times in the last 2 months. B. the client has a Foley catheter. C. the client's family is available to care for him 24 hours a day. D. the client is ordered to continue IV antibiotics 5 days post discharge.

Correct Answer: V

Rationale: Family availability to provide care and assistance is not an indicator for skilled home care services. In fact, the nurse might see an opportunity for family education to meet the client's needs so that less community support is needed. This should be discussed and negotiated with the family. Frequent hospital readmissions indicate that the client has not been able to manage either due to condition instability or lack of care needs being met, which is a red flag for home care services to monitor and meet those needs appropriately. A Foley catheter requires home health care due to infection potential and care requirements. IV antibiotics also necessitate home care for maintaining line patency and assessing the site.

Question 3 of 5

The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:

A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area. B. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report. C. request that the family have a seat in the station rather than stand while awaiting its loved one. D. request that the family wait for its loved one in the Emergency Department waiting room.

Correct Answer: A

Rationale:
To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client's room. This ensures that sensitive information is not overheard. The report should be resumed only after the family has left the desk area to maintain confidentiality.
Choice B is incorrect as bringing coffee does not address the issue of maintaining confidentiality.
Choice C is incorrect as standing or sitting in the station does not prevent the family from overhearing confidential information.
Choice D is incorrect as the Emergency Department waiting room is not the appropriate setting for waiting during a unit admission.

Question 4 of 5

Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?

A. CPK-BB B. CPK-MM C. CPK-MB D. CPK-MI

Correct Answer: C

Rationale: CPK-MB is the correct answer as it is elevated in clients who have had a myocardial infarction. CPK-BB is elevated in clients with brain damage, and CPK-MM is elevated in clients with skeletal muscle damage. CPK-MI, mentioned in the rationale, does not exist, making it an incorrect choice.

Question 5 of 5

What is the term for the tendency of a drug to combine with its receptor?

A. potency B. efficacy C. kinetics D. affinity

Correct Answer: D

Rationale: The correct answer is 'affinity.' Affinity refers to the close relationship or mutual attraction between a drug and its receptor, indicating the strength of the drug-receptor bonding. Potency (
Choice
A) is related to the dose of a drug needed to produce a specific effect. Efficacy (
Choice
B) refers to a drug's ability to generate the desired effect. Kinetics (
Choice
C) deals with forces affecting the motion of material bodies or changes in a system, which is not directly associated with the bonding between a drug and its receptor.

Nurselytic

NCLEX-PN

NCLEX-PN