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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX FIVE QUESTION AND ASNWERS

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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX FIVE QUESTION AND ASNWERS A child with an autism spectrum disorder (ASD) is being admitted to the hospital for diagnostic tests. Which room assignment is the most appropriate for the child? 1.Private room 2.Semiprivate room 3.4-bed ward room 4.Con...

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  • July 24, 2022
  • 12
  • 2021/2022
  • Exam (elaborations)
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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX FIVE QUESTION
AND ASNWERS
A child with an autism spectrum disorder (ASD) is being admitted to the hospital for diagnostic tests.
Which room assignment is the most appropriate for the child?

1.Private room
2.Semiprivate room
3.4-bed ward room
4.Contact isolation room Correct Answer: Private room

The nursing instructor asks the nursing student to identify the priorities of care for an assigned client.
The nursing instructor determines that the nursing student understands the client's needs when which
statement is made?

1."Actual or life-threatening concerns are the priority." 2."Completing care in a reasonable time frame is
the priority."
3."Time constraints related to the client's needs are the priority." 4."Obtaining the needed supplies to
care for the client is the priority." Correct Answer: "Actual or life-threatening concerns are the priority."

The nurse manager is discussing the facility protocol in the event of a tornado with the staff. Which
instructions should the nurse manager include in the discussion? Select all that apply.

1.Open doors to client rooms. 2.Move beds away from windows.
3.Close window shades and curtains.
4.Place blankets over clients who are confined to bed.
5.Relocate ambulatory clients from the hallways back into their rooms. Correct Answer: 2.Move beds
away from windows.
3.Close window shades and curtains.
4.Place blankets over clients who are confined to bed.

The nurse employed in a long-term care facility is planning assignments for the clients on a nursing unit.
The nurse needs to assign four clients and has a licensed practical (vocational) nurse and 3 unlicensed
assistive personnel (UAPs) on a nursing team. Which client would the nurse most appropriately assign to
the licensed practical (vocational) nurse?

1.A client who requires a bed bath
2.An older client requiring frequent ambulation
3.A client who requires hourly vital sign measurements
4.A client requiring abdominal wound irrigations and dressing changes every 3 hours Correct Answer: A
client requiring abdominal wound irrigations and dressing changes every 3 hours

A client with diabetes mellitus is admitted to the hospital for eye surgery. Which task can be delegated
to the unlicensed assistive personnel (UAP)?

1.Orient the client to the hospital surroundings.
2.Instruct the client on how to apply the eye drops.
3.Listen to the client express his frustration or loss.

, 4.Review hand washing and hygiene practices with the client. Correct Answer: Orient the client to the
hospital surroundings.

The nursing instructor asks a nursing student to identify the priorities of care for an assigned client.
Which statement indicates that the student correctly identifies the priority client needs?

1.Actual or life-threatening concerns
2.Completing care in a reasonable time frame
3.Time constraints related to the client's needs
4.Obtaining needed supplies to care for the client Correct Answer: Actual or life-threatening concerns

The nurse has received the client assignment for the day. Which client should the nurse care for first?

1.The client receiving chemotherapy who is on day 3 of a 5-day regimen and has a question about
nutrition
2.The client receiving external radiation who has complaints of dryness and itching skin at the treatment
area
3.The client who had a radical mastectomy 36 hours ago and is complaining of tightness and pulling at
the incision site
4.The client admitted with the medical diagnosis of neutropenia who is afebrile and is complaining of
pain with urination Correct Answer: The client admitted with the medical diagnosis of neutropenia who
is afebrile and is complaining of pain with urination

The registered nurse (RN) is planning assignments for the clients on a nursing unit. The RN needs to
assign 4 clients and has 1 RN, 1 licensed practical (vocational) nurse, and 2 unlicensed assistive
personnel (UAPs) on a nursing team. Which client would the nurse most appropriately assign to the
licensed practical nurse?

1.The client who requires a 24-hour urine collection
2.The client with an abdominal wound requiring frequent wound irrigations
3.The older client requiring assistance with a bed bath and frequent ambulation
4.The client on a mechanical ventilator requiring frequent assessment and suctioning Correct Answer:
The client with an abdominal wound requiring frequent wound irrigations

The registered nurse is planning the client assignments for the day. Which is the most appropriate
assignment for an unlicensed assistive personnel (UAP)?

1.A client requiring a colostomy irrigation
2.A client receiving continuous tube feedings
3.A client who requires urine specimen collections
4.A client with difficulty swallowing food and fluids Correct Answer: A client who requires urine
specimen collections

A registered nurse (RN) who is working with a nursing student assigns the student to care for a client
with a diagnosis of Cushing's syndrome. The RN asks the student questions about this disorder. Which
statement made by the student indicates understanding of Cushing's syndrome?

1."Cushing's syndrome is caused by excessive amounts of cortisol."

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