2024 NCLEX RN ACTUAL EXAM TEST BANK
LATEST 40 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES/RN NCLEX TEST
BANK
Terms in this set (40)
A nurse is preparing to Wearing gloves whenever exposure to blood or body
perform a physical fluids is anticipated is a standard precaution
examination on a recommended by the Centers for Disease Control and
postpartum client. The Prevention. Although gloves protect both the client and
client asks the nurse why the nurse from infectious organisms and guard against
gloves are necessary for the the nurse's cold hands, the nurse wears them primarily to
examination. What is the maintain standard precautions, which is required by the
nurse's best response? Occupational Safety and Health Administration.
"Gloves help protect you
against infectious
organisms."
"Gloves guard you against
my cold hands."
"Gloves may protect me
against infectious
organisms."
"Gloves are required for
standard precautions."
,Which situations should a CMV exposure can affect the fetus; women who are
supervisor consider in pregnant should avoid contact with CMV-positive
making assignments for clients. HIV is transmitted via blood and body fluids; all
nurses in the neonatal unit? staff should take contact precautions. When a mother
A pregnant nurse shouldn't has gonorrhea, a nurse should administer eye
care for a neonate whose prophylaxis to the neonate to prevent neonatal
mother was positive for ophthalmic infection. It isn't a concern for staff. Erythema
human immunodeficiency toxicum is a common rash in infancy; communicability
virus (HIV). isn't a concern.
A nurse with young children
shouldn't care for a neonate
whose mother has
gonorrhea.
A nurse with young children
shouldn't care for a neonate
with erythema toxicum.
A pregnant nurse shouldn't
care for a neonate with
cytomegalovirus (CMV).
, The nurse is developing a Sitz baths help decrease inflammation and tension in the
care plan for a client with perineal area. Kegel exercises improve circulation to the
an episiotomy. Which area and help reduce edema. Ice packs should be
interventions would be applied to the perineum for only the first 24 hours; after
included for the nursing that time, heat should be used. Topical pain gels should
diagnosis acute pain related be applied to the suture area to reduce discomfort, as
to perineal sutures? Select ordered. The perineal pad should be changed
all that apply. frequently to prevent irritation caused by the discharge.
Apply an ice pack
intermittently to the
perineal area for 3 days.
Avoid the application of
topical pain gels.
Administer sitz baths three
to four times per day.
Encourage the client to do
Kegel exercises.
Limit the number of times
the perineal pad is
changed.
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