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NCLEX-PN Prep Questions and Answers
(straight from ATI)| A+ Graded
A nurse is assigned care of a client who has HIV. Which
of the following infection control precautions should the
nurse plan to use while caring for this client? - Correct
Answer-Standard precautions. HIV is not spread through
cough or casual contact.
A nurse is contributing to the plan of care for a client
who has a pressure ulcer on his heel. Should the nurse:
keep the ulcer bed dry, clean the ulcer with hydrogen
peroxide, provide the client a diet high in vitamin C, or
reposition them every 4 hours? - Correct Answer-Provide
the client a diet that's high in vitamin C in order to
promote wound healing and development of new tissue.
A nurse is caring for a client who has urinary
incontinence. What should the nurse do to prevent the
development of skin breakdown? - Correct Answer-
1
, 2
Apply a moisture barrier ointment to the skin to prevent
further contact of the skin with urine.
A nurse is planning to perform passive range of motion
to a client who is immobilized. Should the nurse: support
extremities above and below joints, stretch the body
part just beyond the existing range of motion, or
continue moving body parts if muscle spasticity occurs?
- Correct Answer-Support extremities above and below
the joints to prevent muscle strain or injury.
Identify Erikson's stages of psychosocial development
from birth through 18 years of age. - Correct Answer-
trust vs mistrust,
autonomy vs shame and doubt,
initiative vs guilt,
industry vs inferiority,
identify vs role confusion
A nurse is collecting data from a client who has
hypokalemia as a result of nausea, vomiting, and
diarrhea. Should the nurse expect: hyperactive reflexes,
2
, 3
extreme thirst, weak irregular pulse, or hyperactive
bowel sounds? - Correct Answer-A weak, irregular pulse.
Common manifestations of potassium depletion include:
a weak and irregular pulse, muscle weakness, fatigue,
and ventricular dysrhythmias.
A nurse is contributing to the plan of care for a client
who has a gastrostomy tube through which he is
receiving continuous enteral feedings. Which of the
following interventions should the nurse include in the
plan? - Correct Answer--The nurse should flush the
gastrostomy tube with 30 to 60 mL of water every four
hours to provide free water to the client and prevent
dehydration.
-The nurse should change the feeding bag and tubing
every 24 hr to limit the growth of bacteria within the
system.
-The nurse should elevate the head of the bed to 45
degrees (semi-Fowler's position) for a client who is
receiving continuous enteral feedings to limit the risk of
aspiration of the formula.
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NCLEX-PN Prep Questions and Answers
(straight from ATI)| A+ Graded
A nurse is assigned care of a client who has HIV. Which
of the following infection control precautions should the
nurse plan to use while caring for this client? - Correct
Answer-Standard precautions. HIV is not spread through
cough or casual contact.
A nurse is contributing to the plan of care for a client
who has a pressure ulcer on his heel. Should the nurse:
keep the ulcer bed dry, clean the ulcer with hydrogen
peroxide, provide the client a diet high in vitamin C, or
reposition them every 4 hours? - Correct Answer-Provide
the client a diet that's high in vitamin C in order to
promote wound healing and development of new tissue.
A nurse is caring for a client who has urinary
incontinence. What should the nurse do to prevent the
development of skin breakdown? - Correct Answer-
1
, 2
Apply a moisture barrier ointment to the skin to prevent
further contact of the skin with urine.
A nurse is planning to perform passive range of motion
to a client who is immobilized. Should the nurse: support
extremities above and below joints, stretch the body
part just beyond the existing range of motion, or
continue moving body parts if muscle spasticity occurs?
- Correct Answer-Support extremities above and below
the joints to prevent muscle strain or injury.
Identify Erikson's stages of psychosocial development
from birth through 18 years of age. - Correct Answer-
trust vs mistrust,
autonomy vs shame and doubt,
initiative vs guilt,
industry vs inferiority,
identify vs role confusion
A nurse is collecting data from a client who has
hypokalemia as a result of nausea, vomiting, and
diarrhea. Should the nurse expect: hyperactive reflexes,
2
, 3
extreme thirst, weak irregular pulse, or hyperactive
bowel sounds? - Correct Answer-A weak, irregular pulse.
Common manifestations of potassium depletion include:
a weak and irregular pulse, muscle weakness, fatigue,
and ventricular dysrhythmias.
A nurse is contributing to the plan of care for a client
who has a gastrostomy tube through which he is
receiving continuous enteral feedings. Which of the
following interventions should the nurse include in the
plan? - Correct Answer--The nurse should flush the
gastrostomy tube with 30 to 60 mL of water every four
hours to provide free water to the client and prevent
dehydration.
-The nurse should change the feeding bag and tubing
every 24 hr to limit the growth of bacteria within the
system.
-The nurse should elevate the head of the bed to 45
degrees (semi-Fowler's position) for a client who is
receiving continuous enteral feedings to limit the risk of
aspiration of the formula.
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