Questions 41

NCLEX-RN

NCLEX-RN Test Bank

Leadership and Management in Nursing NCLEX Questions Questions

Extract:


Question 1 of 5

A 30-year old patient presents to the Emergency Department with alcohol withdrawal seizures. The psychiatry nurse understands that the patient will soon be admitted to the non-medical psychiatric care unit. To keep this patient safe, the nurse must perform which priority nursing action?

Correct Answer: D

Rationale: Padding the side rails (
D) is the priority to prevent injury during ongoing or recurrent seizures in alcohol withdrawal, ensuring immediate safety. Requesting clonazepam (
A) requires a physician order and is secondary, IV pump setup (
B) is not urgent unless medication is ordered, and ABG (
C) is unnecessary unless respiratory distress is present.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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