The nurse is preparing for a client to undergo a closed reduction of t

Fundamentals of Nursing NCLEX RN Questions

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Question 1 of 5.

The nurse is preparing for a client to undergo a closed reduction of the shoulder with moderate (procedural) sedation. The nurse plans on obtaining which clinical data during the procedure?

A. Blood pressure

B. End-tidal carbon dioxide [ETCO2] level

C. Respiratory rate

D. Blood glucose

E. Oxygen saturation

Explanation: During moderate sedation, monitoring blood pressure, end-tidal CO2, respiratory rate, and oxygen saturation is essential to assess cardiovascular and respiratory status, ensuring patient safety. Blood glucose is not routinely monitored unless indicated by the patient's condition.

Question 2 of 5.

A nurse is caring for a 90-year-old client who has been bedridden at home for two weeks. Which of the following is not an expected finding due to immobility?

A. A decrease in bone density

B. Loss of short-term memory

C. Atelectasis

D. High serum calcium level

Explanation: Immobility causes bone density loss, atelectasis, and high serum calcium due to bone resorption, but short-term memory loss is not directly related to immobility.

Question 3 of 5.

The nurse cares for a client and receives a phone call from the laboratory department regarding a critical sodium level of 122 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]. The nurse should take which initial action?

A. Notify the primary healthcare provider (PHCP)

B. Implement seizure precautions

C. Read back the result for verification

D. Recollect the laboratory specimen

Explanation: Reading back the critical result verifies accuracy, the first step before further action. Notifying the provider, seizure precautions, or recollecting follow verification.

Question 4 of 5.

The nurse is teaching at an interdisciplinary conference focused on age-related changes. Which of the following are expected in the older adult? Select all that apply.

A. Fatty tissue is redistributed

B. Skin becomes less elastic

C. Cardiac output increases

D. Muscle mass increases

E. Hormone production increases

F. Visual and hearing acuity diminishes

Explanation: Aging involves fat redistribution, less elastic skin, and diminished sensory acuity. Cardiac output, muscle mass, and hormone production decrease.

Question 5 of 5.

The nurse is recommending respite care to a client and their caregiver. The nurse understands that this care is designed to

A. Improve the quality of life of clients and families who are experiencing problems related to life-threatening illnesses.

B. Provide a variety of health and social services to specific patient populations.

C. Have clients live with comfort, independence, and dignity while easing the pain of terminal illness.

D. Offers short-term relief by providing caregivers who support the ill, disabled, or frail older adults time to relax.

Explanation: Respite care provides temporary relief for caregivers, allowing them rest. Other options describe palliative or comprehensive care services.