NCLEX EXAM vc
Exam Solution vc
Comprehensive Review NCLEX RN Examination Funda vc vc vc vc vc
mentals Review 2026 A+ GRADE ASSURED COMPLETE S vc vc vc vc vc vc vc
OLUTIONS AND VERIFIED ANSWERS (69680) vc vc vc vc
QUESTION 1 vc
The nurse is giving a report to an unlicensed assistive personnel (UAP) who will be carin
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g for a client who has hand restraints ( safety devices). The nurse instructs the UAP to ch
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eck the skin integrity of the restrained hands how frequently? A.) Every 2 hours. B.) Ever
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y 3 hours. C.) Every 4 hours. D.) Every 30 minutes.
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ANSWER
ANSWER: D.) Every 30 minutes. * Rationale: The neurovascular and circulatory status of the extremity s
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hould also be checked every 30 minutes. In addition , the safety device should be removed at least every
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2 hours to permit muscle exercise and to promote circulation.
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QUESTION 2 vc
Contact precautions are initiated for a client with a health care associated ( nosocomial)
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infection caused by methicillin- vc vc vc
resistant staphylococcus aureus. The nurse prepares to provide colostomy care and shou
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ld obtain which protective items to perform this procedure? A.) Gloves and gown. B.) Glo
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ves and goggles. C.) Gloves, gown and shoe protectors. D.) Gloves, gown, goggles, and face
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shield.
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ANSWER
ANSWER: D.) Gloves, gown, goggles, and face shield. *Rationale: Splashes of body secretion can occur w
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hen providing colostomy care.
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QUESTION 3 vc
The nurse enters a client's room and finds that the wastebasket is on fire. The nurse im
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mediately assists the client out of the room. What is the *next* nursing action? A.) Call fo
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r help. B.) Extinguish the fire. C.) Activate the fire alarm. D.) Confine the fire by closing th
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e room door.
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Exam Solution vc
Comprehensive Review NCLEX RN Examination Funda vc vc vc vc vc
mentals Review 2026 A+ GRADE ASSURED COMPLETE S vc vc vc vc vc vc vc
OLUTIONS AND VERIFIED ANSWERS (69680) vc vc vc vc
QUESTION 1 vc
The nurse is giving a report to an unlicensed assistive personnel (UAP) who will be carin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
g for a client who has hand restraints ( safety devices). The nurse instructs the UAP to ch
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
eck the skin integrity of the restrained hands how frequently? A.) Every 2 hours. B.) Ever
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y 3 hours. C.) Every 4 hours. D.) Every 30 minutes.
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ANSWER
ANSWER: D.) Every 30 minutes. * Rationale: The neurovascular and circulatory status of the extremity s
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hould also be checked every 30 minutes. In addition , the safety device should be removed at least every
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2 hours to permit muscle exercise and to promote circulation.
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QUESTION 2 vc
Contact precautions are initiated for a client with a health care associated ( nosocomial)
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infection caused by methicillin- vc vc vc
resistant staphylococcus aureus. The nurse prepares to provide colostomy care and shou
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ld obtain which protective items to perform this procedure? A.) Gloves and gown. B.) Glo
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ves and goggles. C.) Gloves, gown and shoe protectors. D.) Gloves, gown, goggles, and face
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shield.
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ANSWER
ANSWER: D.) Gloves, gown, goggles, and face shield. *Rationale: Splashes of body secretion can occur w
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hen providing colostomy care.
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QUESTION 3 vc
The nurse enters a client's room and finds that the wastebasket is on fire. The nurse im
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mediately assists the client out of the room. What is the *next* nursing action? A.) Call fo
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r help. B.) Extinguish the fire. C.) Activate the fire alarm. D.) Confine the fire by closing th
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e room door.
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