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NCLEX - uWorld Test 1 EXAM PREP TEST BANK VERIFIED QUESTIONS AND CORRECT

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NCLEX - uWorld Test 1 EXAM PREP TEST BANK VERIFIED QUESTIONS AND CORRECT

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NCLEX - uWorld Test 1 EXAM PREP TEST
BANK VERIFIED QUESTIONS AND
CORRECT ANSWERS
A nurse is performing cardiopulmonary resuscitation (CPR) on
an adult at a swimming pool. A bystander brings the
automated external defibrillator (AED). The nurse notes that
the victim is wet and wearing a transdermal medication patch
on the upper right chest. Which action is appropriate?




1. Continue compressions while the AED analyzes the client's
heart rhythm


2.Do not use the AED and continue CPR until paramedics
arrive


3.Place the AED pad on the opposite side of the transdermal
patch


4.Remove the transdermal patch and wipe the chest before
applying AED pads - Correct Answers ✅Cardiac arrests
require prompt use of an automated external defibrillator
(AED), if available, because evidence shows that early
defibrillation is associated with increased cardiopulmonary
resuscitation (CPR) success. An AED is a portable device that
administers an electric shock to attempt restoration of normal
cardiac electrical activity during cardiac arrest when used
with other resuscitative measures (eg, chest compressions,
medication).

,NCLEX - uWorld Test 1 EXAM PREP TEST
BANK VERIFIED QUESTIONS AND
CORRECT ANSWERS
To maximize the effectiveness of shock(s) administered by an
AED and increase safety to those providing aid, the client's
chests should be dry, free of residue, and cleaned of any
barriers to conduction (eg, chest hair, transdermal patches)
(Option 4).
(Option 1) When the AED announces that it is ready for
rhythm analysis, compressions are paused and rescuers are
to remain clear of the client. The AED will then dictate if a
shock is needed, or if CPR should be resumed.
(Option 2) The AED should be turned on and AED pads
applied as soon as it is available; its use should not be
delayed.
(Option 3) AED pads should not be placed over medication
patches because this interferes with conduction and can burn
the skin and would not be effective if placed on the opposite
side. The transdermal patch should be removed and any
residue wiped away before placing the appropriate pad on
the right side of the chest.
Educational objective:An automated external defibrillator
(AED) is used as soon as possible for improved
cardiopulmonary resuscitation outcomes. Transdermal
patches should be removed, and the chest wiped to promote
AED pad adherence and prevent burns.


While the nurse is transporting a client to a new unit, the
client's chest tube drainage system falls off the bed and the
tube becomes dislodged from the chest wall. What is the
nurse's priority action?

,NCLEX - uWorld Test 1 EXAM PREP TEST
BANK VERIFIED QUESTIONS AND
CORRECT ANSWERS

1) Activate the hospital emergency response system
2) Apply supplemental oxygen and quickly transport to the
new unit
3) Check the client's respiratory pattern and effort and
oxygen saturation
4) Firmly cover the insertion site with the palm of a clean.
gloved hand. - Correct Answers ✅Chest tubes are inserted
into the pleural cavity to facilitate drainage of air
(pneumothorax), blood (hemothorax), or other fluids. Chest
tubes are sutured in place, but dislodgement can occur. If this
happens, a sterile occlusive dressing (eg, petrolatum gauze)
must immediately be placed over the insertion site until the
health care provider can assess the client and insert a new
chest tube. If such dressings are not immediately available,
the nurse should cover the insertion site with something
clean and occlusive (eg, gloved hand) to prevent air from
entering the pleural cavity (Option 4).
(Option 1) The nurse should cover the site and assess the
client prior to activating the emergency response system.
(Option 2) It may be necessary to provide supplemental
oxygen if a chest tube is accidentally dislodged. This
intervention would be done after the site is occluded.
(Option 3) After the chest tube insertion site is covered, the
client should be reassessed. The nurse should not delay
covering the chest tube site as pneumothorax or tension
pneumothorax may occur quickly.

, NCLEX - uWorld Test 1 EXAM PREP TEST
BANK VERIFIED QUESTIONS AND
CORRECT ANSWERS
Educational objective:Chest tubes are inserted into the
pleural cavity to drain air (pneumothorax), blood
(hemothorax), or other fluids. If the tube is accidentally
dislodged, a sterile occlusive dressing is placed over the site.
If such dressings are not immediately available, a clean
gloved hand can be placed over the site to prevent air entry
into the pleural space. After dressing the site, the nurse
should reassess the client and notify the health care provider
immediately.


The charge nurse is responsible for making room assignments
for multiple clients. Which pair of client assignments to a
shared room is appropriate?


1) Client with blood loss anemia and client with intractable
diarrhea
2) Client with gastroenteritis and client with chemotherapy-
induced nausea and vomiting
3) Client who had a bowel resection 1 day ago and client with
asthma exacerbation
4) Client who had a total hip arthroplasty and client with
influenza - Correct Answers ✅When making room
assignments, it is important to remember that a client with
an active or suspected infection should not be paired with a
client who has a fresh surgical wound or is
immunocompromised. A client having an asthma
exacerbation does not have an infection and is not at risk for

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