NCLEX Trainer Test 1 Questions | Nurselytic

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NCLEX Trainer Test 1 Questions

Extract:

A client that has stage III pressure ulcer of the sacrum with foul smelling purulent drainage.


Question 1 of 5

The nurse should intervene in which of the following situations?

Correct Answer: B

Rationale: Strategy: 'Nurse should intervene' indicates an incorrect behavior. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) contact precautions required for infected decubitus ulcer; private room if possible (2) correct-masks not needed and doors do not need to be closed (3) maintain positive nitrogen balance, should offer high protein diet with protein supplements (4) lifting prevents shearing force

Extract:


Question 2 of 5

The nurse is caring for a neonate with an infection. The nurse would be MOST concerned if which of the following was observed?

Correct Answer: D

Rationale: A respiratory rate of 65 at rest (normal 30–50) indicates tachypnea, suggesting sepsis or hypoxia. Options A, B, and C are less concerning.

Question 3 of 5

The nurse is caring for a client with a new colostomy.

Correct Answer: C

Rationale: Using a mild soap to cleanse the peristomal skin prevents irritation and maintains skin integrity. Changing the appliance daily is unnecessary, emptying at one-third full prevents leaks, and a skin barrier should be used routinely to protect the skin.

Question 4 of 5

A 34-year-old man comes to the clinic for the results of a glycosylated hemoglobin assay (HbA1c). Which statement, if made by the client to the nurse, indicates an understanding of this procedure?

Correct Answer: C

Rationale: when RBCs are being formed, sugar is attached (glycosylated) and remains attached throughout the life of the RBC

Extract:

The nurse is caring for a 17-year-old married male scheduled for a hernia repair. The nurse administers meperidine hydrochloride (Demerol) 50 mg and hydroxyzine pamoate (Vistaril) 25 mg IM. Thirty minutes later the nurse discovers that the informed consent is unsigned.


Question 5 of 5

Which of the following actions by the nurse is BEST?

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate action, should inform physician (2) can't sign informed consent if client has been drinking alcohol or has been pre-medicated for surgery (3) correct-physician needs to be informed (4) married minor is considered emancipated; provides own consent for treatment

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