Nclex-Rn Practice Questions-Appendices And İndex - Comprehensive Test 4 Part 3
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Question 1 |
Which client should a nurse place in an orthopneic position?
A | A client with edema of the lower legs and ankles |
B | A client with a pressure ulcer on the coccyx and buttocks |
C | An immobilized client with calf tenderness due to a thrombus |
D | An elderly client with difficulty breathing |
Question 2 |
A client preparing to transfer from the bed to a wheelchair complains of feeling light-headed and dizzy as he rises from a supine to a sitting position. Which action should the nurse take next?
A | Lift the client quickly into the wheelchair. |
B | Return the client to the supine position and apply a safety vest. |
C | Ask the client to dangle his legs at the bedside while leaving the room for a few seconds to get assistance. |
D | Have the client sit at the side of the bed for a few minutes while supporting his back and shoulders. |
Question 3 |
Which nursing action is the most effective infection control measure for preventing the transmission of microorganisms?
A | Change a client’s bed linen daily. |
B | Wash hands before and after client contact. |
C | Wear sterile gloves when touching a client’s skin. |
D | Wear a mask when in direct contact with infected clients. |
Question 4 |
The nurse is teaching a student nurse about standard precautions. Which action by the student nurse indicates that the teaching has been effective?
A | Wear eye goggles while giving a complete bed bath. |
B | Recap a needle used for an injection before disposal. |
C | Dispose of blood-contaminated materials in a biohazard container. |
D | Use alcohol to decontaminate blood-contaminated steel instruments. |
Question 5 |
A nurse is caring for a client on neutropenic precautions. At which point should the nurse remove the barrier protection when leaving the room?
A | Within the client’s room, just inside the doorway |
B | Out of the client’s room, just outside the doorway |
C | In the hallway, a significant distance from the client’s room |
D | At the bedside, immediately after completing work with the client |
Question 6 |
Which technique is appropriate for promoting proper breathing in a client experiencing pain or anxiety?
A | Rapid, light respirations |
B | Rapid, deep respirations |
C | In through the mouth and out through the nose |
D | In through the nose and out through the mouth |
Question 7 |
A nurse is preparing a client with a tracheostomy for discharge. Which of the following statements by the client indicates that he understands the teaching regarding his tracheostomy care?
A | “I will need to cover the opening when I shower.” |
B | “I can swim as long as I keep my head above water.” |
C | “I will need to wash my hands after caring for my tracheostomy.” |
D | “I will need to take antibiotics to prevent infections.” |
Question 8 |
Which time frame is most appropriate for completing client teaching for a client undergoing an open cholecystectomy?
A | The day of discharge |
B | A few weeks before the surgery |
C | The first 12 hours after surgery |
D | Before discharge, 1 to 2 days after the surgery |
Question 9 |
A 46-year-old single female client is concerned about her 15-year-old son’s behavior. He has suddenly decided his mother shouldn’t date or have men in the house. He told his mother he was the “man of the house.” Which disturbance is occurring in the internal dynamics of the family?
A | Age-appropriate behavior is occurring. |
B | The son is powerful in the family system. |
C | The son is trying to establish a role reversal. |
D | It’s culturally acceptable to be the man of the house at age 15. |
Question 10 |
A team leader would instruct team members to wear a mask and protective eyewear or a face shield in which situation?
A | When strong odors are emitted from an infected wound |
B | When the client has an oral temperature greater than 101° F (38.3° C) |
C | If needles or other sharp instruments are to be used in the procedure |
D | During a procedure where splashing of blood or body fluid is anticipated |
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