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2024 NGN NCLEX RN ACTUAL Exam Guaranteed A+ Actual Questions and Answers, Complete 100%
- An assistive personnel tells the charge nurse that her assignment is too
demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve
the conflict?:
Answer:
Ask the AP to discuss the issue in a private area
- A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials should
the AP place in the client's room?:
Answer:
Oral Suction Equipment
- A charge nurse on a mental health unit is supervising a newly licensed
nurse. For which of the following actions by the newly licensed nurse should
the supervising nurse intervene?:
Answer:
Tells a client he will lose his phone privileges if he does not take his medication
- A nurse is caring for a client who follows a kosher diet. Which of the
following menu items should the nurse include in the meal tray?:
Answer:
Roasted Salmon
- A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information?:
Answer:
"Advance directives include a living will"
- A nurse is collecting data from the caregiver of a client who has
Alzheimer's disease. The caregiver reports the client has difficulty sleeping 1 / 4
at night and wanders throughout the house. Which of the following interventions
should the nurse recommend?:
Answer:
Encourage the client to take frequentwalks during the day
- A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions should
the nurse take? (Select all that apply):
Answer:
Assist the client to empty her bladder
- A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse
include regarding effleurage?:
Answer:
"Gently stroke her abdomen during contractions"
- A nurse is caring for an older adult client who is postoperative following
a total hip arthroplasty. The client is incontinent of stool and urine. Which of
the following actions should the nurse take to prevent skin breakdown?:
Answer:
Use a moisture barrier on the client's skin
- A nurse is caring for a client who has terminal cancer. Which of the following
actions should the nurse take to promote the client's autonomy?:
Answer:
Allow he client to choose treatment times
- A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings
is evidence of an obstetric complication?:
Answer: 2 / 4
Appears greenish-brown in color
- A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the nurse
take?:
Answer:
Inform the adolescent that he might experience a headache
- A nurse is reinforcing teaching about advance directives with a client who
has end-stage heart failure. Which of the following statements by the client
indicates an understanding of the teaching?:
Answer:
"I should discuss this document with my family after I sign it"
- A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate. The nurse notices clots and dark red blood in the catheter collection bag. Which of the following
actions should the nurse take?:
Answer:
Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
- A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse
plan to take?:
Answer:
Instruct the client to remain as still as possible during the recording
- A nurse is reinforcing teaching with a client who has genital herpes.
Which of the following information should the nurse include in the teaching?:
Answer:
"You should increase fluid intake to relieve dysuria"
- A nurse is preparing to empty a postoperative client's closed-wound
drainage system. Which of the following actions should the nurse plan to
take?: 3 / 4
Answer:
Compress the container before replacing the drainage plug
- A nurse is reinforcing teaching with the parents of a toddler who has a
new diagnosis of asthma and a prescription for montelukast. Which of the
following instructions should the nurse include in the teaching?:
Answer:
Administer the medication to the toddler each evening
- A nurse in an acute mental health facility is caring for a newly admitted
client. Which of the following should occur during the orientation phase of
the nurse-client relationship?:
Answer:
Defining responsibilities
- A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart
rate?:
Answer:
Lower left
- A charge nurse is observing a newly licensed nurse perform suctioning
for a client who has a tracheostomy. For which of the following actions by
the newly licensed nurse should the charge nurse intervene?:
Answer:
Suction for 30 seconds
- A nurse is reviewing the medication administration record of a client
who takes atenolol PO and supplies a nitroglycerin transdermal patch daily.Which of the following interactions should the nurse monitor with this
client?:
Answer:
- / 4
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