Exam (elaborations)
NCLEX PN SAFE, EFFECTIVE CARE ENVIRONMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NCLEX PN SAFE, EFFECTIVE CARE ENVIRONMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX PN SAFE, EFFECTIVE CARE
ENVIRONMENT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
TheSnurseSisSassistingSinSpreparingSaSteachingSplanSforSaSclientSwithSMénière'sSdisease.STheSnurseSplacesShig
hestSprioritySonSteachingStheSclientSinformationSrelatedStoSwhichSinformation?S-SANSWERSSafety
TheSnurseSisSprovidingSinstructionsStoStheSmotherSofSaStoddlerSregardingSsafetySmeasuresSinStheShomeStoSp
reventSanSaccidentalSburnSinjury.SWhichSstatementSbyStheSmotherSindicatesSaSneedSforSfurtherSteaching?S-
SANSWERS"ISneedStoSbeSsureStoSplaceSmyScupSofScoffeeSonStheScounter."
TheSnurseSisScaringSforSaSchildSwithSaSdiagnosisSofSroseola.STheSnurseSprovidesSinstructionsStoStheSmotherSr
egardingSpreventingStheStransmissionSofStheSinfectionStoStheSotherSchildrenSinStheSfamilySandStheSotherSho
useholdSmembers.SWhichSinstructionsSshouldStheSnurseSreinforceStoStheSmother?S-
SANSWERSAvoidSallowingStheSchildrenStoSshareSdrinkingSglassesSorSeatingSutensilsSbecauseStheSdiseaseSisStr
ansmittedSthroughStheSsaliva.
ASmotherSbringsSherSchildStoStheSclinicSbecauseStheSchildShasSdevelopedSaSrashSonStheStrunkSandSscalp.STheS
childSisSdiagnosedSwithSvaricella.SWhatSwillStheSnurseStellStheSmotherSaboutStheSinfectiousSperiod?S-
SANSWERS"TheSinfectiousSperiodSisS1StoS2SdaysSbeforeStheSonsetSofStheSrashStoS5SdaysSafterStheSonsetSofSlesi
onsSandStheScrustingSofSlesions."
TheSnurseSeducatorSdeterminesSthatSaSnewlyShiredSlicensedSpracticalSnurseS(LPN)SinSaSlocalShospitalSdemon
stratesSanSaccurateSunderstandingSofSprofessionalSliabilitySinsuranceSwhenSwhichSstatementSisSmade?S-
SANSWERS"ISshouldSobtainSmySownSmalpracticeSinsurance."
TheSnurseSisSplanningStheSclientSassignmentsSforStheSday.STheSassignmentSthatStheSnurseScommunicatesStoS
theSunlicensedSassistiveSpersonnelS(UAP)SincludesSwhichSclients?SSelectSallSthatSapply.S-SANSWERSAS9-year-
oldSclientSwithScysticSfibrosisSwhoSrequiresSassistanceSwithStoileting
AS12-month-oldSclientSadmittedS3SdaysSagoSwithSrespiratorySsyncytialSvirusS(RSV)SwhoSrequiresSaSbath
AS10-month-
oldSadmittedSforSspasmodicSlaryngitisSwhoSisSscheduledSforSdischargeStheSfollowingSdaySwhoSrequiresSfeedi
ng
,TheSnurseSisSreviewingStheShealthScareSprovider'sSprescriptionsSwrittenSforSaSclientSadmittedSwithSacuteSpa
ncreatitis.SWhichShealthScareSproviderSprescriptionSshouldStheSnurseSverifySifSnotedSinStheSclient'sSchart?S-
SANSWERSPositionStheSclientSsupineSandSflat.
ASclientSwithSpossibleSribSfractureShasSneverShadSaSchestSx-
ray.STheSnurseSshouldSplanStoStellStheSclientSwhichSstatementSaboutStheSprocedure?S-
SANSWERS"ItSisSnecessaryStoSremoveSjewelrySandSanySotherSmetalSobjects."
TheSwifeSofSaSclientSwhoSabusesSalcoholStellsStheSnurseSsheScannotS"doSitSalone"SanySlongerSandSasksStheSnu
rseSaboutStheSavailabilitySofSanySfreeSsupportSservicesSforS"peopleSlikeSme."STheSnurseSrefersStheSclient'sSwi
feStoSwhichScommunitySgroup?S-SANSWERSAl-Anon
AS6-year-
oldSchildSwithSleukemiaSisShospitalizedSandSisSreceivingScombinationSchemotherapy.SLaboratorySresultsSindi
cateSthatStheSchildSisSneutropenic,SandStheSnurseSpreparesStoSimplementSprotectiveSisolationSprocedures.S
WhichSinterventionsSshouldStheSnurseSinitiate?SSelectSallSthatSapply.S-SANSWERSPlaceStheSchildSonSaSlow-
bacteriaSdiet.
ChangeSdressingsSusingSsterileStechnique.
PerformSmeticulousShandSwashingSbeforeScaringSforStheSchild.
TheSnurseSobservesSanSoutburstSbySaSclientSwithSaShistorySofSschizophrenia,SduringSwhichStheSclientSusesSex
tremeSfoulSlanguage.SWhichSappropriateSdocumentationSshouldStheSnurseSmakeSforSthisSoccurrence?S-
SANSWERSUseSquotationSmarks,SexactSwords,SandSadditionalSobjectiveSinformationSaboutSaffectSandSnonve
rbalSbehavior.
TheSnurseSisSreinforcingSinstructionsSregardingStheSpreventionSofSLymeSdiseaseStoSaSgroupSofSteenagersSgoi
ngSonSaShikeSinSaSwoodedSarea.SWhichSpointsSshouldStheSnurseSincludeSinStheSsession?SSelectSallSthatSapply.
S-SANSWERSTuckSpantSlegsSintoSsocks.
WearSclosedSshoesSwhenShiking.
,ApplySinsectSrepellentScontainingSDEET.
CoverStheSgroundSwithSaSblanketSwhenSsitting.
TheSnurseSisScaringSforSanS18-month-
oldSchildSwhoShasSbeenSvomiting.STheSappropriateSpositionStoSplaceStheSchildSduringSnapsSandSsleepStimeSi
sSwhich?S-SANSWERSASside-lyingSposition
TheSnurseSisSeducatingSaScommunitySgroupSaboutSriskSfactorsSforSsuicideSandSknowsSaSmemberSneedsSfurth
erSteachingSwhenSwhichScriteriaSareSchosenSasSriskSfactors?SSelectSallSthatSapply.S-
SANSWERSAgeSlessSthanS32Syears
PracticingSaSreligion
MarriedSoverS10Syears
TheSnurseShasSreceivedSaS7SamSchangeSofSshiftSreportSonSfourSclients.SWhichSclientSshouldStheSnurseScheckS
first?S-
SANSWERSASclientSadmittedSearlySthisSmorningSwithSrightSlowerSquadrantSabdominalSpainSandSanSelevatedS
leukocyteScount
AnSolderSclientSwithSaShistorySofShyperparathyroidismSandSsevereSosteoporosisSisShospitalized.STheSnurseSc
aringSforStheSclientSplansStoSaddressSwhichSproblemSfirst?S-SANSWERSTheSpossibilitySofSinjury
ASclientSwasSinvoluntarilySadmittedStoStheSpsychiatricSunitSbecauseSofSepisodesSofSextremelySviolentSbehavi
or.STheSclientSisSdemandingStoSbeSdischargedSfromStheShospital.STheSlicensedSpracticalSnurseS(LPN)SreportsS
theSinformationStoStheSregisteredSnurseS(RN),SandStheSRNSdoesSnotSallowStheSclientStoSleave.STheSLPNSunde
rstandsSthatSwhichSrepresentsStheSlegalSramificationsSassociatedSwithStheSRN'sSbehavior?S-
SANSWERSNoSchargeSwillSbeSmadeSagainstStheSRNSbecauseStheSRN'sSactionsSareSreasonable.
TheSnurseShasSreceivedSaSclientSassignmentSforStheSday.SInSwhichSprioritySorderSshouldStheSnurseSseeStheScli
ents?SArrangeStheSclientsSinStheSorderSthatStheySshouldSbeSseen.SAllSoptionsSmustSbeSused.S-SANSWERS1
TheS2-year-oldSclientSreceivingSdigoxinS(Lanoxin)SwithSaSheartSrateSofS70SbeatsSperSminute
, TheS2-year-oldSclientSreceivingSdigoxinS(Lanoxin)SwithSaSheartSrateSofS70SbeatsSperSminute
2
TheS15-year-oldSclientSscheduledSforSsurgerySinS2ShoursSwhoSstillSneedsSpreoperativeSteaching
TheS9-year-oldSclientSwithSrheumaticSfeverScomplainingSofSincreasedSpainSatSaSlevelSofS8/10
3
TheS9-year-oldSclientSwithSrheumaticSfeverScomplainingSofSincreasedSpainSatSaSlevelSofS8/10
TheS15-year-oldSclientSscheduledSforSsurgerySinS2ShoursSwhoSstillSneedsSpreoperativeSteaching
4
TheS4-year-
oldSclientSwithSheartSfailureS(HF)SwhoShadStoSincreaseStheSelevationSofStheSheadSofStheSbedStoSsleepSbecaus
eSofSdyspnea
TheSnurseSisScaringSforSaSclientSwhoShasSbeenSprescribedScoldSpackSapplicationsStoStheSrightSlowerSextremit
y.STheSnurseSplansStoScollectSwhichSdataSspecificallySassociatedSwithSthisStherapySbeforeStheSinitiationSofSth
erapy?SSelectSallSthatSapply.S-SANSWERSPedalSpulses
CapillarySrefill
ColorSofStheSextremity
TemperatureSofStheSskin
ASclientSbroughtStoStheSemergencySdepartmentSisSdeadSonSarrivalS(DOA).STheSfamilySofStheSclientStellsStheSh
ealthScareSproviderSthatStheSclientShadSterminalScancer.STheSemergencySdepartmentShealthScareSproviderSe
xaminesStheSclientSandSasksStheSnurseStoScontactStheSmedicalSexaminerSregardingSanSautopsy.STheSfamilySo
fStheSclientStellsStheSnurseSthatStheySdoSnotSwantSanSautopsySperformed.SWhichSresponseStoStheSfamilySisSa
ppropriate?S-SANSWERS"ISwillScontactStheSmedicalSexaminerSregardingSyourSrequest."
ASnurseSplanningScareSforSaSclientSwithShepatitisSplansStoSmeetStheSclient'sSsafetySneedsSbySperformingSwhi
chSaction?S-SANSWERSMonitoringSprothrombinSandSpartialSthromboplastinSvalues