NCLEX Practice Questions: Quiz 847 The nurse is caring for a patient with emphysema and respiratory failure who is receiving mechanical ventila- tion through an endotracheal tube. To prevent ventilator-associated pneumonia (VAP), which action is most important to include in the plan of1. Administer ordered antibiotics as scheduled.2. Hyperoxygenate the patient before suctioning.3. Maintain the head of bed at a 30- to 45-degree angle.4. Suction the airway when coarse crackles are audible.
NCLEX-RN Exam Review Questions: Quiz 700 NCLEX-RN Exam Review Questions: Quiz 700 The nurse is caring for a group of clients in an alcohol rehabilitation facility. A local news station is doing a story on addiction, and a representative comes to the facility, asking to interview a client. A client agrees to appear in the story, and the crew films an interview in the dayroom, showing a glimpse of other clients. Which violation has the nurse committed?*1. allowing clients in a substance abuse facility to be interviewed by the media2. violating the HIPAA need to know rule3. releasing information about a minor without parental consent4. There is no violation.
NCLEX Question of the Day – 03.28.17 A diabetic client who takes insulin is being seen by the nurse for a low blood glucose level. Which of the following would be the best choices to begin to raise the blood glucose level? Select all that apply. 1. One-half cup of orange juice. 2. One cup of milk. 3. One ounce of tuna. 4. One tablespoon of peanut butter. 5. One piece of bread. 6. One-half cup of regular soda.
NCLEX Question of the Day – 02.12.17 The nurse is obtaining a health history for a client with osteoporosis. The nurse should specifically ask the client about which of the following? Select all that apply. 1. Amount of alcohol consumed daily. 2. Use of antacids. 3. Dietary intake of fiber. 4. Use of Vitamin K supplements 5. Intake of fruit juices
NCLEX Question of the Day – 01.04.17 The client has a new order for placement of a Foley catheter due to urinary retention. Which of the following should the nurse do before starting the procedure? Select all that apply. 1. The nurse should confirm the client’s identity, because a procedure requires proper identification. 2. The nurse should confirm the client’s medical record number via the wristband and order. 3. Ask the client his or her name only, because this is a procedure and not a medication administration. 4. The nurse should confirm the client’s name via the wristband and order.
NCLEX Question of the Day – 01.01.17 A client’s stools are light gray in color. The nurse should assess the client further for which of the following? Select all that apply. 1. Intolerance to fatty foods. 2. Fever. 3. Jaundice. 4. Respiratory distress. 5. Pain at McBurney’s point. 6. Peptic ulcer disease.
NCLEX Question of the Day – 01.22.17 Which of the following is significant data to gather from a client who has been diagnosed with pneumonia? Select all that apply. 1. Quality of breath sounds. 2. Presence of bowel sounds. 3. Occurence of chest pain. 4. Amount of peripheral edema. 5. Color of nail beds.
NCLEX Question of the Day – 01.21.17 The nurse is teaching a client with Raynaud phenomenon to prevent having vasospasms. The nurse should discuss which of the following lifestyle changes with this client? Select all that apply. 1. Stop smoking. 2. Exercise fingers by using the keyboard or playing the piano. 3. Wear mittens when taking food out of the freezer. 4. Warm up the car before driving in cold weather. 5. Stop vasospasm by putting the affected part in ice water.
NCLEX Question of the Day – 01.20.17 An elderly client, who is not oriented to time, place, or person, had a total hip replacement. The client is attempting to get out of bed and pull out the IV line that is infusing antibiotics. The client has bilateral soft wrist restraints and a vest restraint. Which of the following interventions by the nurse are appropriate? Select all that apply. 1. Ask the client if he needs to use the bathroom, and provide range-of-motion exercises every 2 hours. 2. Document the type of restraint used and assess the need for continued use. 3. Tie the restraints to the side rails of the bed. 4. Obtain a new physician order for the restraint every 12 hours. 5. Observe for correct placement of restraints. 6. Tie the restraints in a quick-release knot.
NCLEX Question of the Day – 01.19.17 A woman has delivered an infant by cesarean section. Which factors place this woman at risk for thromboembolic disease? (Select all that apply.) A. Due to the surgical procedure, the client will be less active. B. The platelet count is elevated as the body prepared for delivery. C. The pregnant woman’s blood volume decreases in later pregnancy. D. Venous stasis in the lower extremities is common in late pregnancy. E. The fetus produces platelets which cross the placenta into the maternal circulation.
