Nclex passcert nclex-rn Based On Real Exam Environment by Lina q345 vce pdf

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Exam Name:	National Council Licensure Examination(NCLEX-RN)
Exam Code:	NCLEX-RN Dumps
Vendor:	NCLEX	Certification:	NCLEX Certification
Questions:	860 Q&A's	Shared By:	lina

Question 52

A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. The doctor has ordered that an NG tube be inserted to aid in bowel de-compression. When preparing to insert a NG tube, the nurse measures from the:

Options:

Lower lip to the shoulder to the upper sternum

Tip of the nose to the lower lip to the umbilicus

End of the tube to the first measurement line on the tube

Tip of the nose to the ear lobe to the xiphoid process or midepigastric area

Discussion

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Question 53

A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

Options:

“Do you get along well with your family?”

“Do you communicate with your parents?”

“You don’t hate your family, do you?”

“What is it like between you and your family?”

Discussion

Question 54

On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty.

He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?

Options:

“You will not be allowed to remain in your room if you continue to bother things.”

“I can see how uncomfortable you are, but I would like you to walk with me so I can show you around the unit.”

“Tell me why your room needs to be so clean.”

“I’ve inspected this room and it is perfectly clean.”