RESEARCHED NCLEX FUNDAMENTALS QUESTIONS AND ANSWERS
A nurse is speaking with the parent of an infant who has a cardiac defect. After the parent
... [Show More] expresses concern, which of the following is an appropriate response?
a) "Do any of your other children have congenital defects?" b) "Is anything concerning you that I can explain?" c) "She is going to grow up to be a healthy child" d) "Tell me about your baby while I bathe her" - ANS-D A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection?
a) Thread the IV catheter so that the hub rests at the insertion site b) Shave excess hair from around the insertion site c) Cleanse the site with hydrogen peroxide before IV catheter insertion d) Palpate the site carefully just before inserting the IV catheter - ANS-A
Inserting the catheter up to the hub reduces the risk of contaminating along the length of the catheter
A nurse is caring for a postoperative adult client who refuses to use an incentive spirometer following major abdominal surgery. Which of the following is the nurse's priority action?
a) Request that a respiratory therapist discuss the technique for incentive spirometry b) Administer a pain medication to the client c) Chart the client's refusal to participate in health restorative activities d) Determine the reasons why the client is refusing the use the incentive spirometer - ANS-D
A nurse is preparing to administer meperidine (Demerol) 80 mg IM from a 100 mg prefilled syringe. After the injection, which of the following is an appropriate action by the nurse?
a) Return the unused portion to the pharmacy b) Have another nurse witness the disposal of the excess medication c) Place the syringe with the unused portion in a locked medication drawer d)Discard the unused medication in the sharps container - ANS-B
meperidine is a controlled substance
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? SATA
a) Place the client in a negative pressure room b) wear gloves when assisting the client with oral care c) limit each visitor to 2 hr increments d) wear a surgical mask when providing care e) Use antimicrobial sanitizer for hand hygiene - ANS-A, B, E
A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching?
a) Assign the client to a room with a negative air-flow system b) Use alcohol-based hand sanitizer when leaving the clients room c) clean contaminated surfaces in the clients room with a phenol solution d) have family members wear a gown and gloves when visiting - ANS-D [Show Less]