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NCLEX-PN Exam Questions - Part 39
1. In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
A) diabetic signs and symptoms.
B) nutritional status.
C) bleeding problems.
D) availability of insulin.
2. In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?
A) Place extra padding under the mother to absorb blood from the delivery.
B) Cut the umbilical cord using sterile scissors.
C) Suction the baby - s mouth and nose.
D) Wrap the baby in a clean blanket to preserve warmth.
3. Ethical and moral issues concerning restraints include all of the following except:
A) emotional impact on the client and family.
B) dignity of the client.
C) client - s quality of life.
D) policies and procedures.
4. Attaching a restraint to a side rail or other movable part of the bed can:
A) do nothing to the client.
B) injure the client if the rail or bed is moved.
C) help the client stay in the bed without falling out.
D) help the client with better posture.
5. How often must physical restraints be released?
A) every 2 hours
B) between 1 and 3 hours
C) every 30 minutes
D) at least every 4 hours
A) diabetic signs and symptoms.
B) nutritional status.
C) bleeding problems.
D) availability of insulin.
2. In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?
A) Place extra padding under the mother to absorb blood from the delivery.
B) Cut the umbilical cord using sterile scissors.
C) Suction the baby - s mouth and nose.
D) Wrap the baby in a clean blanket to preserve warmth.
3. Ethical and moral issues concerning restraints include all of the following except:
A) emotional impact on the client and family.
B) dignity of the client.
C) client - s quality of life.
D) policies and procedures.
4. Attaching a restraint to a side rail or other movable part of the bed can:
A) do nothing to the client.
B) injure the client if the rail or bed is moved.
C) help the client stay in the bed without falling out.
D) help the client with better posture.
5. How often must physical restraints be released?
A) every 2 hours
B) between 1 and 3 hours
C) every 30 minutes
D) at least every 4 hours
1. Right Answer: C
Explanation: Bleeding problems are not characteristic of diabetes. All the other options are appropriate areas of assessment. Safety and Infection Control
2. Right Answer: C
Explanation: After the baby delivers, the nurse should clear the mouth and nose of the infant first. Choice 4 is the next step. Choices 1 and 2 might be performed depending on the situation. Safety and Infection Control
3. Right Answer: D
Explanation: Policies and procedures, though important, are not in the category of ethical and moral issues. The other options are ethical and moral issues. Safety and InfectionControl
4. Right Answer: B
Explanation: Attaching a restraint to a movable part of the bed can cause client injury if that part of the bed is moved before releasing restraints. Safety and Infection Control
5. Right Answer: A
Explanation: Restraints must be released every 2 hours, and the client must be assessed every 30 minutes while restrained. Safety and Infection Control
Explanation: Bleeding problems are not characteristic of diabetes. All the other options are appropriate areas of assessment. Safety and Infection Control
2. Right Answer: C
Explanation: After the baby delivers, the nurse should clear the mouth and nose of the infant first. Choice 4 is the next step. Choices 1 and 2 might be performed depending on the situation. Safety and Infection Control
3. Right Answer: D
Explanation: Policies and procedures, though important, are not in the category of ethical and moral issues. The other options are ethical and moral issues. Safety and InfectionControl
4. Right Answer: B
Explanation: Attaching a restraint to a movable part of the bed can cause client injury if that part of the bed is moved before releasing restraints. Safety and Infection Control
5. Right Answer: A
Explanation: Restraints must be released every 2 hours, and the client must be assessed every 30 minutes while restrained. Safety and Infection Control
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