Hogan Nclex Questions and Answers

Hogan Nclex Questions and Answers

Which action would the nurse institute that is specific to the care of an assigned client who has tuberculosis?Wearing a particulate respirator mask when taking vital sign.The nurse is providing home care instructions for a family with a toddler diagnosed with lice. The nurse includes which of the following instructions in the teaching plan?

• vacuum floor and furniture to remove hair that might have live nits.
• have the mother use a bright light and magnifying glass to check the hair for lice.
• Launder the child's bedding and clothing in hot water with detergent and dry in a hot dryer for 20 minutes.
• Teach children not to share combs, brushes, and hates.

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Which of the following medication orders should the nurse question?Ceftriaxone (Rocephin) IVBP every 8 hours A client with narrow-angle glaucoma is scheduled for an outpatient colonoscopy later in the week. The nurse evaluates the client understands pre-procedure teaching when the client makes which statement?I will inform my doctor and nurses of my glaucoma and the medication I am taking.A client is found on the bathroom floor having a grand mal seizure. What is the nurse's priority intervention?Sit on the floor and protect the client's head The nurse is preparing to leave the room of a client on transmission-based precautions. Place in the correct order the steps the nurse would follow to remove personal protective equipment and perform hand hygiene.

• Remove Gloves
• Remove Mask
• Remove Gown
• Remove Eye Protection
• Wash Hands

The nurse is preparing to enter the room of a client with pneumonia caused by penicillin-resistant Streptococcus pneumonia (PRSP), The Client has a tracheostomy and requires suction. Put the following personal protective equipment in order of donning. All options must be used.

• Gown
• Mask

• Eye Protection
• Gloves

An older adult client has fallen twice while getting up to go to the bathroom at night. The nurse implements which measure to decrease the risk of further client falls?Leave the call bell within reach, and turn on the bathroom light.A client asks the nurse to explain why she is receiving iodine (xylocaine) in there IV when her dentist injects it into her gums to numb the teeth before a filling. What is the best response by the nurse?When given IV, this drug reduces irritability of heart cells and helps reduce dysrhythmias.The nurse is giving a medication to a client at 8:00 am. What is the most important action the nurse should take before administering the medication?Check the client's identification band.A newborn is scheduled for discharge from the birthing center tomorrow. When teaching the new parents about car seats, which characteristics of infant restraint systems would the nurse include as essential for the newborn?

• Rear Facing
• In the back seat.

The nurse is working with a client who has chronic Diarrhea. In teaching ways to reduce diarrhea, the nurse would encourage the client to avoid which of the following?Anxiety and anger.

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A client has weakness of the lower extremities and uses crutches for mobility. The nurse concludes the client needs further information about using crutches when the client does which of the following?Bears weight on the armpits.The nurse is participating in a therapeutic touch session with a client. The nurse evaluates that it would be appropriate to stop the session when which of the following occurs?The practitioner perceives that the imbalance has been resolved.A client has a nasogastric (NG) Tude in place for gastic decompression and reports increaseing nausea. Which action should the nurse take first.Instill 20ML of saline Which assessment data gathered by the nurse would prohibit the use of imagery with a clinet?Client has a history of psychosis

when using humor therapy with a client, the nurse should do which of the following?Use humorous interventions after the nurse attended to the physcical or emational pain that the clinet might be experiencing.The nurse is admitting a clinent with thermal burns to both arms and anterior trunk. The clinet asks for a dring of water. What is the most appropriate response for the nurse to make?"Im Sorry, you cannot drink anything right now; let me moisten your mouth instead." When instering an 18-gauge Fench unrinary catheter into a male clinet, the nurse met resistnace when it was instered less than one-half the distance required. what action would be most beneficial to complete catheter insertion?Lifting the shaft of the penis to a 90-degree angle to the abdomnen.A nurse is orineting a newly employed RN. Which statement by the new nurse indicates a lack of understanding about oxygen satruation?Oxygen saturation is only assessed ny analyzing the PaO2.A client has been referred for dietary teaching regarding the management of hepatitis. The nurse would base development of nutritional goals on which data?The diet should be high in calories and high in protien.A client with a closed drainage system tries to get out of bed alone and disconnects the chest tube from the drainage system, which falls on the floor. Which action should the nurse take first upon entering the client's room?Submerge the tube in sterile water or saline.A client is reveiving radiation to the head and neck area for treatment of cancer. What intervention would the nurse use to help the client's complaint of a dry mouth?Suggest the use of sugar-free candies.A nurse is preparing for a busy morning. the first assigned clinet has hemodialysis in two hours. The second client has discharge orders. The third client has congestinve heart failure (CHR), and needs furosemide (Lasix) IV push.The fourth client is a 36- year old with type 2 diabletes melitus and a blood glucose of 156 mg/dl. What should the nurse do first?Administer furosemide ( lasix) IVP to the clinet with CHF.A new graduate nurse orientee plans to show an adolescent client a video about self-injection techniques. A staff nurse remarks, "I gave the client written literature yesterday, so the video probably isnt necessary." The nurse orientee proceeds with showing the video and discussing the skill with the adolescent after deciding to implement which ethical principle?Autonomy

A charge nurse from the rehabiltation unit is floating on the medical unit to fill in as charge nurse. This is the nurse's first time on the medical unit. What should the charge nurse do first?Get a quick orientation to the operation of the unit.A nurse is caring for four clients who each have a priority nursing diagnosis. Based on each client's nursing diagnosis, which client should the nurse assess first?Imapired gas exchange related to fluid in the bronchioles secondary to hypervolemia.The nurse working on an adult medical-surgical unit would assign which clients to the licesnsed practial/vocational nurse (LPN/LVN) under supervision of the RN?A 53 year old client with hypertension and chronic renal insufficiency.The nurse has admitted to the intermediate care unit a client who sustained spinal cord injury at T1 in a motor vehicle accident. Which nursing care activity can the nurse delegate to the unlicensed assitive person (UAP) working with this client?Measure oxygent saturation level every hour Provide Mouth Care.A nurse delegates to an unlicensed assistant (UA) the taks of blood glucose (BG) monitoring, which must be done every two hours. What critical component of delegation by the nurse is necessary to ensure the measurements are completed every two hours?The nurse must provide feedback and evaluate performance.A nurse is making rounds after receiving report. The nurse observes the client is receiving the wrong intervenous fluid. What is the nurse's next action?Replace the bag of fluid with the fluid what was ordered.The Registered nurse (RN) is assigned to the postpartum unit. Which task could the RN safely delegate to a beginning student nurse?Ambulate a client who delivered by cesarean 2 days ago.A client has sustained a factured femur. Which assessment should the nurse complete first?Neurological assessment An LPN/LVN is working with three clients. One client is receiving IV push morphine for left shoulder pain rated 7 on a scale of 0-10; a second has an oral order of digoxin (Lanoxin) and furosemide (Lasix) for heart failure (HF); the third is table and has vitamins ordred to improve wouldn healing. What task should the LPN/LVN request be completed by the registered nurse (RN) ?The administration of IVP morphine for the client with pain.