NCLEX RN Practice Test (ALL PASSING LEVEL Qs) with Correct Answers
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Course
Nclex
Institution
Nclex
NCLEX RN Practice Test (ALL PASSING
LEVEL Qs) with Correct Answers
nurse does ED triage. unemancipated minor requests treatment. registration clerk states they
need guardian's consent for treatment. which is the nurse's next action?
- triage after guardian consent obtained
- ask minor about me...
- when is the last time you two had a vacation - Answer✔✔-blaming isn't effective (wrong,
picked c)
rationale: don't ask why, telling them blaming isn't effective helps keep focus on both people,
"only" isn't a good word
pt diagnosed with malnutrition has continuous enteral feedings through newly placed
gastrostomy tube. which actions will nurse include in plan of care? SATA
- cover insertion site with adhesive bandage
- add 8 hours of feeding to bag at a time
- rotate gastrostomy tube 360 degrees once daily
- auscultate for whoosh of air through gastrostomy tube
- check for slight in and out movement of gastrostomy tube - Answer✔✔-rotate gastrostomy
tube 360 degrees once daily & check for slight in and out movement of gastrostomy tube
rationale: insertion site should be covered with sterile bandage to reduce infection risk until
stoma is healed, only 4 hours of enteral feeding added to bag at a time to reduce bacterial
contamination, rotate 360 degrees daily to reduce risk of skin irritation and breakdown, don't
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