NGN NCLEX RN EXAM<\/p>\n\n\n\n
1.A client has been hospitalized after an automobile accident. A full leg cast was
applied in the emergency room. The most important reason for the nurse to elevate
the casted leg is to
A) Promote the client’s comfort
B) Reduce the drying time
C) Decrease irritation to the skin
D)Improve venous return
D: Improve venous return. Elevating the leg both improves venous return and
reduces swelling. Client comfort will be improved as well.<\/p>\n\n\n\n
D) Void continuously and catch some of the urine
A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is
difficult to obtain and requires clear directions. Instructing the client to carefully
clean the meatus, then void naturally with a steady stream prevents surface
bacteria from contaminating the urine specimen. As starting and stopping flow can
be difficult, once the client begins voiding it\u2019s best to just slip the container into
the stream. Other responses do not reflect correct technique<\/p>\n\n\n\n
pathway in the clotting cascade; Coumadin affects the Vitamin K dependent
clotting factors.
6.A client with moderate persistent asthma is admitted for a minor surgical
procedure. On admission the peak flow meter is measured at 480 liters\/minute.
Post-operatively the client is complaining of chest tightness. The peak flow has
dropped to 200 liters\/minute. What should the nurse do first?
A) Notify both the surgeon and provider
B) Administer the prn dose of albuterol
C) Apply oxygen at 2 liters per nasal cannula
D) Repeat the peak flow reading in 30 minutes
B: Administer the prn dose of albuterol. Peak flow monitoring during
exacerbations of asthma is recommended for clients with moderate-to-severe
persistent asthma to determine the severity of the exacerbation and to guide the
treatment. A peak flow reading of less than 50% of the client\u2019s baseline reading is
a medical alert condition and a short-acting beta-agonist must be taken
immediately.
7.A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be
essential for the nurse to include at the change of shift report?
A) The client lost 2 pounds in 24 hours 1
B) The client\u2019s potassium level is 4 m Eq\/liter<\/p>\n\n\n\n
Get the full exam pdf here https:\/\/learnexams.com\/study-content\/ngn-nclex-rn-exam-questions-and-answers-2024-2025-37pages-5180<\/a><\/p>\n\n\n\n