NCLEX-RNTest1NGNQuestionsAnswers

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NCLEX-RNTest1NGNQuestions&Answers 1.Thenursewitnessesthecollapseofachildwhileoutdoors.Thechildisnot breathingandhasapulseof50/min.Thenursecallsemergencyservicesand initiatesrescuebreathing.After2minutesofrescuebreaths,thechildisstill notbreathingandispalewithapulseof30/min.Whatisthenurse'snext action?Answer1.Initiatechestcompressions Rescuebreathingisperformedatarateof1breathevery2-3seconds.Ifthepulse remains<60/minandtherearesignsofpoorperfusion(skinpallor),thenurseshould initiatechestcompressionsandreassessthepulseevery2minutes 2.Thechargernurseisresponsibleformakingroomassignmentsmultiple clients.Whichpariofclientassignmentstoasharedroomisappropriate?Answer3.Clientwhohadabowelresection1dayagoandclientwithasthma exacerbation.Whenmakingroomassignments,itisimportanttorememberthataclientwithan NCLEX-RN Test 1 NGN.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX-RN%20Test%20...

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activeorsuspectedinfectionshouldnotbepairedwithaclientwhohasafresh surgicalwoundorisimmunocompromised.Aclienthavinganasthmaexacerbation doesnothaveaninfectionandisnotatriskforspreadinginfectiontoaclientwho hadarecentbowelresectionsurgery.

3.Theclinicnurseisassessingaclientwhoisbeingtreatedfordepressionand suicidalideation.Whichclientstatementbestindicatesthattheclientisnot currentlyatriskforsuicide?Answer2."Iplantoattendmygrandchild'sgraduationnextmonth" Clientsreceivingtreatmentfordepressionandsuicidalideationmustbecarefully monitoredforindicationsofincreasingsuicidalintent.Duringaclientinterview,the nurseshouldassess

• Accesstopsychiatricmedications
• Availabilityofhelpduringacrisis(counselor,family)
• Futuregoalsandplans
• Homeandenvironmentrisks
• Overallaffectandlevelofenergy NCLEX-RN Test 1 NGN.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX-RN%20Test%20...

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• Possibleaccesstoweapons

Clientswhoarticulatelong-termpersonalgoalsandfamilymilestonesarelesslikelyto attemptdeathbysuicide 4.Thenurseiscaringforaclientwhohadananteriorwallmyocardialinfarc- tion2daysago.Thetelemetrytechniciannotifiesthenurseat8;30AMthatthe clientisinventriculartrigeminy.Whatisthenurse'spriorityintervention?Answer1.Administerpotassiumsupplement NCLEX-RN Test 1 NGN.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX-RN%20Test%20...

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Inventriculartrigeminy,prematureventricularcontractions(PVCs)occureverythird heartbeat.Myocardialinjury(eg,myocardialinfarction)predisposestheclientto ectopy(eg,PVCs),whichincreasestheclient'sriskforlethaldysrhythmias(eg,ven- triculartachycardia).PVCsarecausedand/orexacerbatedbyhypoxia,electrolyte imbalances,emotionalstress,stimulants,fever,andexercise.Thisclient'smorninglaboratoryresultsshowhypokalemia(potassium<3.5mEq/L [3.5mmol/L]);therefore,thepriorityistreatmentoftheunderlyingcauseofthe ectopybyadministeringtheprescribedpotassiumreplacement(Option1).Health careproviders(HCPs)oftenprescribeelectrolytereplacementalgorithmstoclientsat riskforelectrolyteimbalances(eg,myocardialinjury,receivingdiuretics)unlessa contraindicationexists(eg,serumcreatinine>1.5mg/dL[133µmol/L],anuric,weight <99.2lb[45kg]).

5.Thenursecaresforaclientwithaterminaldiseasewhocreatedadonot attemptresuscitation(DNAR)directive.Theclientstopsbreathingandloses theirpulse.Theclient'sadultchildstates,"Please,dowhateveryoucanto savethem!"Whichinterventionisappropriate?Answer3.Explaintheclient'sresuscitationdirectivetotheclient'schild NCLEX-RN Test 1 NGN.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX-RN%20Test%20...

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