NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
The nurse needs nasotracheal suctioning. The nurse explains the procedure to the client and performs hand hygiene. Prioritize the nurse's remaining actions to perform the nasotracheal suctioning by placing each step in the correct order.
Order the Items
Source Container
Prepare suction supplies and equipment and pour sterile saline into a sterile container.
Place finger over suction control port of catheter and suction intermittently while withdrawing the catheter.
Put on sterile gloves.
Lubricate the catheter with sterile saline, insert into naris, and advance into pharynx.
When the client inhales, advance the catheter into the trachea.
Pick up suction catheter with the dominant hand and attach it to connection tubing; avoid contamination of the glove on the dominant hand.
Place tip into sterile saline container while applying suction to clear secretions from the tubing
Correct Answer: A,C,F,D,E,B,G
Rationale: A: Preparing supplies comes first. C: Sterile gloves maintain asepsis. F: Handling catheter keeps dominant hand sterile. D: Lubrication aids insertion. E: Advancing during inhalation ensures tracheal placement. B: Intermittent suction prevents trauma. G: Clearing tubing prevents reinsertion of secretions.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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