NCLEX Practice Test Questions For Exam 3 Questions
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NCLEX Practice Test questions for exam 3
The nurse is caring for several clients with central venous catheters. While
changing the tubing on the central lines, the nurse would not need to instruct
the client to perform Valsalva maneuver when the client has which catheter?
1. Groshong
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2. Single- lumen
3. Percutaneous
4. Accessed subcutaneous venous port
Answer 1
The client is receiving 5% dextrose in 0.45% sodium chloride. The physician
has ordered the client receive one unit of packed cells. Prior to hanging the
blood, the nurse will prime the blood tubing with which solution?
1. 5% dextrose
2. Lactated Ringer's
3. 0.9% sodium chloride
4. 5% dextrose in 0.45% sodium chloride
Answer 3
While assessing a client's intravenous ( IV) line, the nurse notes that the area
is swollen, cool, pale, and causes the client discomfort. What complication
should the nurse document?
1. Infiltration
2. Phlebitis
3. Infection
4. Air embolism
Answer 1
The client is receiving 5% dextrose and 0.45% sodium chloride intravenously
and is complaining of pain at the IV site. The nurse assesses the site and
notes erythema and edema. What is the appropriate action for the nurse to
take? Select all that apply.
1. Slow the infusion to a keep- open rate.
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2. Discontinue the IV and apply a warm compress to the IV site.
3. Apply antibiotic ointment to the IV site.
4. Gently pull back on the IV catheter to attempt repositioning.
5. Relocate the IV site and document the event.
Answer 2,5
The nurse is preparing to start a peripheral intravenous ( IV) line in a client.
The client's record indicates a latex allergy. What action should be taken by
the nurse?
1. Utilize a new tourniquet for this client.
2. Use a blood pressure cuff to distend the vein.
3. Avoid putting povidone iodine on the skin.
4. Initiate a latex- free alternative therapy.
Answer 2
The nurse is inserting an intravenous ( IV) line into a cli-ent. After piercing the
skin and entering the vein, what manifestation should cause the nurse to
refrain from advancing the catheter?
1. Blood backflow into the IV catheter
2. Mild resistance with advancement
3. No reports of client discomfort
4. IV catheter was inserted bevel side up
Answer 2
The nurse is inserting a peripheral intravenous ( IV) line. Place the following
steps in order to perform this procedure correctly.
1. Apply a tourniquet above insertion site.
2. Insert catheter at 5- 15 degree angle through skin.
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3. Select a vein and cleanse the skin.
4. Attach tubing primed with IV solution.
5. Gather the appropriate equipment.
Answer 5,3,1,2,4
The nurse would perform which action when washing hands as part of medical
asepsis before caring for a client in an outpatient clinic? Select all that apply.
1. Wash hands with the hands held higher than the elbows.
2. Adjust temperature of water to the hottest possible.
3. Scrub hands and nails with a scrub brush for 5 minutes.
4. Use a clean paper towel to turn water off.
5. Rub vigorously using firm circular motions.
Answer 4,5
The nurse's forearm becomes splattered with blood while inserting an
intravenous catheter. What action should the nurse take?
1. Wash blood away with isopropyl alcohol.
2. Wipe blood away with a tissue.
3. Flush forearm with hot water, letting water flow from elbow toward fingers.
4. Wash forearm with soap and water.
Answer 4
The nurse would take which action to protect the client from infection at the
portal of entry?
1. Place sputum specimen in a biohazard bag for transport to the lab.
2. Empty Jackson- Pratt drain using sterile technique.
3. Dispose of soiled gloves in waste container.
4. Wash hands after providing client care.