NCLEX Practice Questions- All N N N
Clinical Reasoning Units N N N
The nurse has an order to administer a daily dose of sodium warfarin (Coumadin) 5mg by
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mouth. Prior to preparing this medication, the nurse would make note of which laboratory test
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results drawn at 0600 today?
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A. Hematocrit 42%
N N
B. Hemoglobin 12.8 mg/dL
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C. Partial thromboplastin time (PTT) 49 second
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D. International normalized ratio (INR) 2.6 - CORRECT ANSWER-D.
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-All medications will be written in generic names and sometimes trade names will follow in ( ).
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-Make sure you know endings of drug classes
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-Warfarin is monitored through PT and INR is based on PT. So don't be confused by PTT.
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Using the principles of standard precautions, the nurse decides to apply gloves when performing
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which of the following nursing interventions?
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A. Providing a back massage
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B. Feeding a client
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C. Providing hair care
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D. Providing oral hygiene - CORRECT ANSWER-D.
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-You can wear gloves for all of these, but what do you NEED to wear gloves for
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, -Need to wear gloves for oral hygiene because of contact with oral secretions
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The nurse is preparing to administer an intramuscular injection to a 14 month-old infant. Place
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an X on the site to be used for intramuscular injections for infants and young children.
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A. Upper arm
N N
B. Thigh
N
C. Buttock
N
D. Abdomen - CORRECT ANSWER-B.
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-This question could be in a "click and point" format
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The family member of an elderly client objects that restraints are being used to prevent the
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client from wandering to other clients' rooms. In order to avoid the use of restraints for this
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patient the nurse should consider:
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A. Providing visual and auditory stimuli
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B. Using anti-anxiety medications as prescribed
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C. Assigning the client to a room near the nurse's station
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D. Locking the other clients' rooms - CORRECT ANSWER-C.
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-This is the least invasive method
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Several clients are being admitted to the hospital unit at one time. There is only private room
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available. Which client has the highest priority for being admitted to this private room?
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A. A client admitted for surgery who requested a private room prior to admission.
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B. A client with a large, infected abdominal wound.
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Clinical Reasoning Units N N N
The nurse has an order to administer a daily dose of sodium warfarin (Coumadin) 5mg by
N N N N N N N N N N N N N N N
mouth. Prior to preparing this medication, the nurse would make note of which laboratory test
N N N N N N N N N N N N N N N
results drawn at 0600 today?
N N N N N
A. Hematocrit 42%
N N
B. Hemoglobin 12.8 mg/dL
N N N
C. Partial thromboplastin time (PTT) 49 second
N N N N N N
D. International normalized ratio (INR) 2.6 - CORRECT ANSWER-D.
N N N N N N N NN N
-All medications will be written in generic names and sometimes trade names will follow in ( ).
N N N N N N N N N N N N N N N N N
-Make sure you know endings of drug classes
N N N N N N N
-Warfarin is monitored through PT and INR is based on PT. So don't be confused by PTT.
N N N N N N N N N N N N N N N N
Using the principles of standard precautions, the nurse decides to apply gloves when performing
N N N N N N N N N N N N N
which of the following nursing interventions?
N N N N N N
A. Providing a back massage
N N N N
B. Feeding a client
N N N
C. Providing hair care
N N N
D. Providing oral hygiene - CORRECT ANSWER-D.
N N N N N NN
-You can wear gloves for all of these, but what do you NEED to wear gloves for
N N N N N N N N N N N N N N N N
, -Need to wear gloves for oral hygiene because of contact with oral secretions
N N N N N N N N N N N N
The nurse is preparing to administer an intramuscular injection to a 14 month-old infant. Place
N N N N N N N N N N N N N N
an X on the site to be used for intramuscular injections for infants and young children.
N N N N N N N N N N N N N N N N N
A. Upper arm
N N
B. Thigh
N
C. Buttock
N
D. Abdomen - CORRECT ANSWER-B.
N N N NN N
-This question could be in a "click and point" format
N N N N N N N N N
The family member of an elderly client objects that restraints are being used to prevent the
N N N N N N N N N N N N N N N
client from wandering to other clients' rooms. In order to avoid the use of restraints for this
N N N N N N N N N N N N N N N N N
patient the nurse should consider:
N N N N N
A. Providing visual and auditory stimuli
N N N N N
B. Using anti-anxiety medications as prescribed
N N N N N
C. Assigning the client to a room near the nurse's station
N N N N N N N N N N
D. Locking the other clients' rooms - CORRECT ANSWER-C.
N N N N N N N NN N
-This is the least invasive method
N N N N N
Several clients are being admitted to the hospital unit at one time. There is only private room
N N N N N N N N N N N N N N N N
available. Which client has the highest priority for being admitted to this private room?
N N N N N N N N N N N N N N
A. A client admitted for surgery who requested a private room prior to admission.
N N N N N N N N N N N N N N
B. A client with a large, infected abdominal wound.
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