Health Care > EXAM > NCLEX (NGN) PRACTICE EXAM A 2022/2023 (All)

NCLEX (NGN) PRACTICE EXAM A 2022/2023

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A nurse is preparing to administer an injection of an opioid medication to a client. the nurse draws out 1ml from a 2ml vile. which of the following actions should the nurse take? a. ask another nurse to observe the medication wastage b. notify the pharm. when wasting the med. c. lock the remaining medication in the controlled substances cabinet d. dispose of the vial with the remaining medication in the sharps container. a. ask another nurse to observe the medication wastage. a second nurse must witness the disposal of any portion of a dose of a controlled substance A nurse is preparing to administer 0.9% sodium chloride 750ml IV to infuse over 7 hours period. the nurse should set the infusion pump to deliver how many ml/hr? 107 ml/hr a nurse is educating a client who has a terminal illness about declining resuscitation in a living will. the client asks, "what would happen if i arrived at the emergency department and i had difficulty breathing?" which of the following responses should the nurse make? a. " we would consult the person appointed by your health care proxy to make decisions" b. " we would give you oxygen through a tube in your nose" c. "you would be unable to change your previous wishes about your care" d. " we would insert a breathing tube while we evaluate your condition" b. we would give you oxygen through a tube in your nose oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula. A nurse is caring for a client who is post-op and refuses to use an incentive spirometer following major abdominal surgery. which of the following is the nurses priority? a. request the respiratory therapist to discuss the technique for incentive spirometry with the client b. determine what the reasons are to refuse to use the spirometer c. document the clients refusal to participate in health restorative activities d. administer a pain medication to a client b. determine what the reasons are to refuse the use of the spirometer A nurse on the med-surg unit is caring for a client who has new perscription for wrist restraints. which of the following actions should the nurse take? a. pad the clients wrists before applying the restraints b. evaluate the clients circulation every 8 hours after application c. remove the restraints every 4 hours to evaluate clients status d. secure the restraint ties to the bedside rails a. pad the clients wrists before applying the restraints A nurse is talking to an older adult client who is considereing retirement. the client states " i keep thinking about how much i enjoy my job. im not sure i want to retire" which of the following responses should the nurse make. a. you would have so much more time to spend with your family b. you should consider getting apart-time job or volunteer work c. lets talk about how the change in your job status will affect you d. why wouldnt you want to retire and relax c. lets talk about how the change in your job status will affect you

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