NCLEX-RN
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
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Question 4 of 5
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Question 5 of 5
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Rationale: