Try Naxlex NCLEX-RN (Free-Trial)

The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

Wash hands prior to examination in the examination room.

Approach the client from the left side of the examination table.

Recap used needles and place them in the sharps container.

Remove gloves only after the examination is over.

Answer and Explanation

The Correct Answer is A

A. Hand hygiene is the most important action to prevent the spread of infection before any physical examination.

B. Approaching from the left side is unnecessary unless required by specific patient needs.

C. Needles should never be recapped as this increases the risk of needlestick injuries.

D. Gloves should be worn when appropriate but should not be the first action before an examination. Hand hygiene is essential before touching the client or any instruments.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Asking the client to swallow assesses the glossopharyngeal and vagus nerves.

B. Eliciting the gag reflex also assesses the glossopharyngeal and vagus nerves.

C. Testing visual acuity assesses the optic nerve.

D. The oculomotor nerve (cranial nerve III) controls pupillary response and eye movement, so the nurse should assess the pupillary response to light.

Correct Answer is ["0.8"]

Explanation

To calculate the volume of enoxaparin to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose required is 30 mg, and the concentration available is 40 mg/mL. Plugging the values into the formula gives you: Volume = 30 mg / 40 mg/mL = 0.75 mL. Therefore, the nurse should administer 0.8 mL when rounded to the nearest tenth.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client on the neurologic medical-surgical unit who was admitted for a new onset of cerebrovascular attack. The client has a medical history of hypertension and diabetes. While conducting a neurologic assessment, how should the nurse assess the oculomotor nerve?

Correct Answer is D

Explanation

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.8"]

Explanation

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

A nurse in the community clinic is providing care to a client who is anxious and hyperventilating. What should the nurse do to reduce the risk of respiratory alkalosis?

A nurse is assessing an older adult client who is experiencing age-related changes. Which findings should the nurse expect?

The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

A nurse is assessing for cyanosis in a client who has dark skin. Which part of the body should the nurse examine to identify cyanosis in this client?

A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

The client has a prescription for dexamethasone 6 mg IV (intravenous) push STAT. Available is a vial of dexamethasone containing 4 mg/ml. The should draw how many milliliters into the syringe for the dos.