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Fundamentals NCLEX Style Questions (Safety) Answered, all correct; MDC Week 6 NCLEX and answers_ 2021/22

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Fundamentals NCLEX Style Questions (Safety) 1. A nurse is caring for a client with Parkinson’s disease who is experiencing difficulty swallowing. For which major potential problem associated with dysphagia should the nurse assess the client? a. Anorexia b. Aspiration c. Self-care deficit d. Inadequate intake 2. A nurse is caring for a confused client. Which should the nurse do to prevent this client from falling? a. Encourage the client to use the corridor handrails b. Place the client in a room near the nurses’ station c. Reinforce how to use the call bell d. Maintain close supervision 3. An unconscious client begins vomiting. In which position should the nurse place this client? a. Supine b. Side-lying c. Orthopneic d. Low-fowler 4. A nurse is assessing a client who is being admitted to the hospital. Which is the most important information that indicates whether the client is at risk for physical injury? a. Weakness experienced during the prior admission b. Medication that increases intestinal motility c. Two recent falls that occurred at home d. The need for corrective eyeglasses 5. Which should the nurse do to best prevent a client from falling? a. Provide a cane b. Keep walkaways clear of obstacles c. Assist the client with ambulation d. Encourage the client to use hallway handrails 6. Which is the last step in making an occupied bed that a nurse should teach a nursing assistant? a. Elevating the head of the bed to a semi-Fowler position b. Ensuring that the client is in a comfortable position c. Lowering the height of the bed toward the floor d. Raising both the upper side rails of the bed 7. A nurse is caring for a cilent with a nasogastric tube for gastric decompression. Which nursing action takes priority? a. Discontinuing the wall suction when providing nursing care b. Positioning the client in the semi-Fowlers position c. Instilling the tube with 30ml of air every 2 hours d. Caring for the nares at least every 8 hours 8. A nurse educator is teaching a group of newly hired nursing assistants. Which hospitalized client should they be taught is at the highest risk for injury? a. School-age child b. Comatose teenager c. Postmenopausal woman d. Confused middle-aged man 9. Which is the priority nursing intervention to prevent client problems associated with latex allergies? a. Use nonlatex gloves b. Identify persons at risk c. Keep a latex-safe supple cart available d. Administer an antihistamine prophylactically 10. A nurse is preparing a client for physical examination. Which is the most important for the nurse to do in this situation? a. Identify the positions contraindicated for the client during the examination b. Explore the client’s attitude towards health-care providers c. Inquire about other professionals caring for the client d. Ask then the client last had a physical examination 11. A client has dysphagia. Which nursing action takes priority when feeding this client? a. Ensuring that dentures are in place b. Medicating for pain before providing meals c. Providing verbal cueing to swallow each bite d. Checking the mouth for emptying between every bite 12. A nurse caring for a client with dementia. Which time of the day is of most concern for the nurse when trying to protect this client from injury? a. Afternoon b. Morning c. Evening d. Night 13. Which human response to illness alerts the nurse that a client is at risk for aspiration during meals? a. Bulimia b. Lethargy c. Anorexia 14. A nurse instructs a client to close the eyes gently after the administration of eye drops. Which rationale for this instruction should the nurse explain to the client? a. Limits corneal irritation b. Forces excess medication from the eyes c. Disperses the medication over the eyeballs d. Prevents medication from entering the lacrimal duct 15. How often should “docusate sodium 100mg PO BID” be given? a. Three times a day b. Two times a day c. Every other day d. At bedtime 16. A primary health-care provider prescribes a medication that must be administrated via the intramuscular route. Which site should the nurse eliminate from consideration because it has the highest potential for injury when administering an intramuscular injection? a. Vastus lateralis b. Rectus femoris c. Ventrogluteal d. Dorsogluteal 17. Which information about a parenteral medication indicates that the nurse should use a filtered needle when preparing the medication? a. Has to be reconstituted b. Is supplied in an ample c. Appears cloudy in the vial d. Is to be mixed with another mediation 18. When the nurse brings a pill to a client, the client is unable to hold the paper cup with the medication. Which should the nurse do? a. Use the cup to introduce the pill into the client’s mouth b. Crush the pill and mix it with a small amount of applesauce c. Have the primary health-care provider prescribe the liquid from the drug d. Put the pill into the client’s hand and have the client self-administer the pill 19. A primary health-care provider prescribes a medicated powder to be applied to a client’s lower leg. Which is the most essential for the nurse to do when applying the medicated powder? a. Apply a thin layer in the direction of hair growth b. Protect the client’s face with a small towel c. Dress the area with dry sterile gauze d. Ensure that the skin surface is dry 20. A nurse must administer a medication into the ear of an adult. Which should the nurse do to limit the client discomfort when administering the eardrops? a. Warm the solution to body temperature b. Place the client in a comfortable position c. Pull the pinna of the ear upward and backward d. Instill the fluid in the venter of the auditory canal

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Recent door jou bekeken

Waarom studenten kiezen voor Stuvia

Gemaakt door medestudenten, geverifieerd door reviews

Kwaliteit die je kunt vertrouwen: geschreven door studenten die slaagden en beoordeeld door anderen die dit document gebruikten.

Niet tevreden? Kies een ander document

Geen zorgen! Je kunt voor hetzelfde geld direct een ander document kiezen dat beter past bij wat je zoekt.

Betaal zoals je wilt, start meteen met leren

Geen abonnement, geen verplichtingen. Betaal zoals je gewend bent via Bancontact, iDeal of creditcard en download je PDF-document meteen.

Student with book image

“Gekocht, gedownload en geslaagd. Zo eenvoudig kan het zijn.”

Alisha Student

Veelgestelde vragen