Exam (elaborations)

NCLEX: Management of Care, NCLEX Management of Care, NCLEX Review - Management of Car Questions and Correct Answers the Latest Update and Recommended Version

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NCLEX

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NCLEX

The healthcare provider is caring for a patient who has septic shock. Which of these should the healthcare provider administer to the patient first? a. Vasopressors to increase blood pressure b. Corticosteroids to reduce inflammation c. IV fluids to increase vascular volume d. Antibiotics to...

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NCLEX: Management of Care, NCLEX
Management of Care, NCLEX Review -
Management of Car Questions and
Correct Answers the Latest Update and
Recommended Version e
The healthcare provider is caring for a patient who has septic shock. Which of these should the

healthcare provider administer to the patient first?

a. Vasopressors to increase blood pressure

b. Corticosteroids to reduce inflammation

c. IV fluids to increase vascular volume

d. Antibiotics to treat the underlying condition

• c. IV fluids to increase vascular volume

The healthcare provider is planning care for four patients. Which patient is most in need of

interventions aimed at preventing anemia. The patient

a. with renal failure on hemodialysis.

b. who has been NPO for 3 days.

c. who is vegetarian.

d. with a Jackson-Pratt drain.

• a. with renal failure on hemodialysis.

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A nurse in the Neonatal ICU administers adult-strength digitalis (Digoxin) to a 3-pound infant.

As a result, the neonate experiences permanent heart and brain damage. The nurse can be

charged with

a. Tort

b. Assault

c. Malpractice

d. Negligence

• c. Malpractice

Which statement is true regarding medical legality?

a. Consent for medical treatment can be given by a minor with a sexually transmitted disease

(STD).

b. A nurse who becomes ill and leaves during a shift is not abandoning patients if the

supervisor is notified.

c. A second trimester abortion may be obtained without state involvement.

d. Student nurses cannot be sued for malpractice while in a clinical class setting.

• a. Consent for medical treatment can be given by a minor with a sexually transmitted
disease (STD).

The healthcare provider on a pediatric unit has received her assignments for the day. Which

of the following patients should the healthcare provider assess first?

a. The 17-year-old with a left pleural effusion complaining of chest pain 9 on a 0-10 scale.

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b. The 6-year-old with bronchitis with an IV antibiotic infusing at 30 mL/hr.

c. The 11-year-old with pneumonia waiting for discharge instructions.

d. The 3-year-old with asthma who has an oxygen saturation of 94% on room air.

• a. The 17-year-old with a left pleural effusion complaining of chest pain 9 on a 0-10
scale.

The nurse is planning care for a client with status-post CVA and limited mobility. The client is

scheduled for occupational therapy at 10:00am and physical therapy at 2:00pm. What times

are nursing care are most appropraite?

a. AM care at 0900, PM care at 1600

b. AM care at 0800, PM care at 1500

c. AM care at 0800, PM care at 1600

d. AM care at 0900, PM care at 1500

• c. AM care at 0800, PM care at 1600

When a patient's nasogastric tube stops draining, what is the nurse's first action?

a. Clamp for 1 hour.

b. Check tube placement.

c. Retract 2 inches.

d. Instill 50 mL of water.

• b. Check tube placement.

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A father brings his 6-month-old son and a 3-year-old daughter for their routine check-ups.

What is the nurse's best strategy?

a. Examine the 3-year-old first, so she can show her brother.

b. Ask the father to step out with one child, while the other is examined.

c. Let the 3-year-old play during the baby's examination.

d. Examine the 6-month-old first, while his sister watches.

• c. Let the 3-year-old play during the baby's examination.

When assigning tasks to unlicensed assistive personnel, the nurse can ask them to do all the

following EXCEPT

a. Provide patient and family education

b. Measure intake and output

c. Assist a patient who is choking

d. Report signs of skin breakdown

• a. Provide patient and family education

After a conference with the family, a patient's care provider writes a Do-Not-Resuscitate

order. What does the nurse understand when planning care for the patient?

a. Death will take place within the next 72 hours, so family should prepare.

b. DNR orders from a pervious hospitalization will be valid and legal.

c. The patient and family may no longer make medical decisions.

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