Nursing Ninjas

Clinical Skills NCLEX Practice Questions

120 questions

What is the normal range for an adult's respiratory rate?How long should you count a patient's pulse rate for accuracy?Which of the following is a primary goal of wound care?What is the primary purpose of wound irrigation?What is the recommended frequency for changing a wound dressing?Which client is at greatest risk for impaired wound healing?What is the priority action for a nurse when assessing a patient with a sudden onset of confusion and altered…Which of the following interventions is most appropriate for preventing pressure ulcers in a bedridden patient?Which of the following interventions is most appropriate for preventing wound dehiscence in a postoperative patient?Which of the following is a risk factor for impaired wound healing?What is the normal range for adult oral temperature?Which vital sign is most crucial for determining a patient's oxygenation status?A patient's blood pressure reading is 150/90 mmHg. How would this reading be classified?Which vital sign is considered the "fifth vital sign" and is often used to assess pain?A patient with a wound is prescribed an enzymatic debriding agent. The nurse should instruct the patient to:A nurse is caring for a patient with hypothermia. Which intervention is appropriate to help raise the patient's body temperature?Which factor can affect blood pressure readings?Which factor should be considered when assessing a patient's pain level?A nurse is assessing a patient with suspected hypovolemic shock. Which vital sign change would the nurse expect to observe…Which of the following is NOT a factor that influences wound healing?A patient presents with a blood pressure reading of 70/40 mmHg, heart rate of 140 bpm, respiratory rate of 28…Which of the following is NOT a sign of wound infection?A patient with suspected acute appendicitis presents with a temperature of 100.4°F (38°C), heart rate of 110 bpm, respiratory rate…Which of the following factors would delay wound healing?A nurse is assessing a patient's pulse oximetry reading and notes a value of 92%. What action should the nurse…A patient's blood pressure reading is 100/60 mmHg. How would this reading be classified?What is the term for an irregular heart rhythm?Which vital sign alteration is most concerning in a patient with suspected acute bacterial meningitis?A patient presents with a blood pressure reading of 180/110 mmHg. The nurse should prioritize assessment of which additional vital…What is the purpose of applying a moist dressing to a wound?What is the primary purpose of wound debridement?What vital sign alteration is most concerning in a patient with suspected acute myocardial infarction?A nurse is assessing a patient's pulse. Which location should the nurse palpate to accurately assess the radial pulse?Which vital sign alteration is most concerning in a patient with suspected acute kidney injury?Which position is ideal for assessing blood pressure?The nurse is caring for a client with a wound. Which action is most appropriate during wound irrigation?A client has a stage III pressure ulcer. Which intervention is the priority to prevent further tissue damage?A patient with a wound is prescribed hyperbaric oxygen therapy (HBOT). The nurse should monitor the patient for:Which of the following factors would increase the risk of infection in a wound?Which vital sign alteration should a nurse prioritize when caring for a patient with suspected opioid overdose?Which vital sign change is most concerning in a patient with suspected diabetic ketoacidosis?Which vital sign is typically assessed first in a patient experiencing acute respiratory distress?Which term refers to an elevated body temperature?Which of the following factors would increase a patient's risk of impaired wound healing?Which technique is most appropriate when applying a dry sterile dressing?A nurse is assessing a patient's pulse and notices an irregular rhythm. What should be the nurse's next action?What is the first step in wound assessment?Which of the following is a characteristic of a stage III pressure ulcer?Which type of dressing promotes autolytic debridement?Which factor can cause an increase in a patient's blood pressure?
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