Safety and Infection Control NCLEX | Nurselytic

Questions 21

NCLEX-PN

NCLEX-PN Test Bank

Safety and Infection Control NCLEX Questions

Question 1 of 5

A partner is concerned because the client frequently daydreams about moving to Arizona to get away from the pollution and crowding in southern California. The nurse explains that

Correct Answer: A

Rationale: such fantasies can gratify unconscious wishes or prepare for anticipated future events. Fantasy is imagined events (daydreaming) to express unconscious conflicts or gratify unconscious wishes.

Question 2 of 5

The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs?

Correct Answer: D

Rationale: baked potato. A baked potato contains 610 milligrams of potassium.

Question 3 of 5

Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?

Correct Answer: B

Rationale: obtain a health and dietary history. Initially, the nurse should obtain information about the chronicity of and details about constipation, recent changes in bowel habits, physical and emotional health, medications, activity pattern, and food and fluid history. This information may suggest causes as well as an appropriate, safe treatment plan.

Question 4 of 5

A client is being discharged with a prescription for chlorpromazine (Thorazine). Before leaving for home, which of these findings should the nurse teach the client to report?

Correct Answer: B

Rationale: A sore throat and fever may be findings of agranulocytosis, a serious side effect of chlorpromazine (Thorazine).

Question 5 of 5

An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0 ml. The correct action is to

Correct Answer: A

Rationale: administer the medication in 2 separate injections. Intramuscular injections should not exceed a volume of 1 ml for small children. Medication doses exceeding this volume should be split into 2 separate injections of 1.0 ml each. In adults the maximum intramuscular injection volume is 5 ml per site.

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