NCLEX review qestions

NCLEX review qestions.NCLEX- RN Review Questions 1. The nurse is caring for a client who is 12 weeks pregnant and speaks Spanish only. Which interventions should the nurse include in the plan of care at the client’s initial visit? Select all that apply: a. Provide brochures in the client’s native language b. Refer the client to a high-risk clinic. c. Discuss cultural differences, and emphasize the differences between cultures. d. Arrange for an interpreter for her appointments. e. Discuss contraception and options. f. Review dietary intake and discuss nutrition. Rationale: (a, d, e, f) The client is not required to learn English so it would be appropriate and beneficial for the client to get a brochure in a language she can understand. The nurse has to understand what is, and what is not appropriate to include in the plan being created, and rule out inappropriate aspects of care for the client or situation presented in the scenario. (Billings & Hensel, 2017, p. 21) 2. The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which task to unlicensed assistive personnel (UAP)? a. Assisting a client with adjusting his or her nasal cannula b. Making adjustments to flow rates based on client responses c. Monitoring a client for adverse effects of oxygen therapy d. Assessing a client for the best method of oxygen delivery Rationale: (A) UAP can assist a client with adjustment of his or her oxygen delivery device. Making adjustments based on client responses, monitoring for adverse effects, and assessing for the best methods of oxygen delivery are skills that require nursing judgements and can only be performed by a nurse. (Billings & Hensel, 2017, p. 440)