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NCLEX RN· RN Fundamentals of Nursing · Fundamental of Nursing NCLEX RN Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client eight hours following a total thyroidectomy. The nurse plans on obtaining an order to assess the client's serum

A. potassium level
B. calcium level
C. sodium level
D. glucose level

Expert Explanatory Rationale

Correct Answer: calcium level

Question 2 of 5

The nurse is preparing to administer a low-cleansing enema to a client. Which action by the nurse is appropriate during the administration of the enema?

A. Administer the enema with the client in a supine position.
B. Insert the enema tube 2 inches into the rectum.
C. Use cold tap water for the enema solution.
D. Hang the enema bag approximately 12 inches above the client's rectum.

Expert Explanatory Rationale

Correct Answer: Hang the enema bag approximately 12 inches above the client's rectum.

Question 3 of 5

The nurse is preparing a client for a clinical breast exam by the physician. To facilitate an effective exam, the nurse should position the client

A. Supine with arms at the side and a pillow under both knees
B. Left lateral with the head resting on a pillow and the arm over the head
C. Sitting forward with a pillow behind the shoulder blades with hands on the hips
D. Supine, with the arm on the side raised behind the head, and a small pillow under the shoulder

Expert Explanatory Rationale

Correct Answer: Supine, with the arm on the side raised behind the head, and a small pillow under the shoulder

Question 4 of 5

The occupational health nurse is conducting an in-service on reducing back injuries. Which of the following statements, if made by a participant, would indicate a correct understanding of the conference?

A. I should keep my legs straight while lifting.
B. Heavy objects should be held away from my body.
C. I shouldn't twist while lifting an object.
D. I should keep a narrow base of support.

Expert Explanatory Rationale

Correct Answer: I shouldn't twist while lifting an object.

Question 5 of 5

The nurse is supervising a graduate nurse completing an incident report regarding a client who fell. Which of the following actions by the graduate nurse requires follow-up?

A. Documents an objective description of what happened
B. Indicates that a 2-inch laceration was present on the client's scalp
C. Documents in the nursing note that an incident report was completed
D. Indicates the follow-up actions taken

Expert Explanatory Rationale

Correct Answer: Documents in the nursing note that an incident report was completed

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