NCLEX-PN Exam Questions - Part 89

1. Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:

A) properly fitting crutches with rubber tips at the end that provide a four-point gait.
B) properly fitting crutches, education in the appropriate gait, and strength in the arms.
C) crutches that fit the way the client chooses and a gait chosen by client.
D) both legs touching the floor for all gaits.



2. The hydraulic lift (Hoyer lift) is:

A) used for all clients who - ve had orthopedic surgery.
B) used for all clients who are not able to stand and for extremity obese clients.
C) used for all clients, both old and young, in a hospital setting.
D) not an assistive device for special needs.



3. An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?

A) inability to turn, cough, and breathe deeply
B) inability to communicate pain
C) inability to ambulate freely
D) inability to use a bedside commode



4. A client is to have an enema to reduce flatus. The enema tube should be inserted:

A) 4 inches.
B) 6 inches.
C) 2 inches.
D) 8 inches.



5. A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:

A) drink 1000 cc prior to the procedure to affect fluid loss.
B) eat foods low in fat.
C) empty his bladder prior to the procedure.
D) assume the prone position.