NCLEX RN Uworld Test with Latest Questions and Expert Answers

NCLEX RN Uworld Test with Latest Questions and Expert Answers The student nurse and the registered nurse are caring for a mechanically ventilated client with an acute lung injury. Which statement by the student nurse indicates a need for further education? ANSWER "I will perform endotracheal suctioning routinely after oral care." - Suctioning is performed based on clinical findings such as adventitious breath sounds, elevated peak airway pressure, coughing, or signs of acute respiratory distress. Frequent suctioning increases the risk of tracheal and bronchial trauma, bleeding, and hypoxia. While turning a client the nurse observes that the client's radiation implant has dislodged and is now lying on the linens. Which action by the nurse is appropriate? ANSWER Use long-handled forceps to secure the implants in a lead container. What is the priority when caring for a 6-month-old diagnosed with atopic dermatitis? ANSWER Prevention of scratching. The postoperative client on hydromorphone becomes hypoxic, and naloxone is administered per protocol. What is most important for the nurse to consider in the follow-up care of this client? ANSWER Client's respiratory status 60 minutes later. The nurse on the mental health unit received report on 4 clients. Which client should the nurse see first? ANSWER Client diagnosed with post-traumatic stress disorder who reports an anxiety level of 8/10 and is pacing the room The nurse administers ANSWER Give the client breakfast within 15 minutes - rapid-acting insulin with an onset of 10-15 minutes; it is important that the client eat within 15 minutes of administration to prevent an insulin-related hypoglycemic reaction