NCLEX-PN
NCLEX Questions on Safety and Infection Control Questions
Extract:
Question 1 of 5
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning?
Correct Answer: D
Rationale: Restlessness. Restlessness, increased heart and respiratory rates, and noisy expiration suggest hypoxia and are indications for suctioning.
Question 2 of 5
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?
Correct Answer: C
Rationale: When a male is not able to use a urinal unassisted, the client should stand by the side of the bed to void. This is the most desirable position for normal voiding for male clients. Also, given his age, he most likely has some degree of prostate enlargement which may interfere with voiding.
Question 3 of 5
The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted. Which finding would call for immediate action by the nurse?
Correct Answer: C
Rationale: Pulse oximetry of 88 BPM. Pulse oximetry should not be lower than 90. Placement of the ET will need to be checked, along with the ventilator settings.
Question 4 of 5
Which of these statements from clients who call the community health clinic would suggest the need for a same-day appointment to be seen by the health care provider?
Correct Answer: D
Rationale: With this description of symptoms this client needs to be seen that day since painless gross hematuria is closely associated with bladder cancer. The other complaints can be handled over the phone.
Question 5 of 5
Which information is a priority for the nurse to reinforce to an older client after intravenous pyelography?
Correct Answer: D
Rationale: This information would alert to the complication of acute renal failure which may occur as a complication from the dye and the procedure. Renal failure occurs most often in elderly patients who are chronically dehydrated before the dye injection.