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National Council Licensure Examination(NCLEX-PN) Questions 541–545 (page: 110)

Updated On: 9-Feb-2026

Which is considered an internal disaster?

  1. A patient fall.
  2. The massive spread of pneumonia.
  3. A computer hacking episode.
  4. Unexpected staff absences due to illness.

Answer(s): C

Explanation:

A computer hacking episode is considered an internal disaster. It threatens patient privacy of information and the secure ongoing manner of communication within the healthcare facility.
Other internal disasters include utility failures, a power outage, workplace violence and a tornado or other environmental threat.
A fall is an incident, accident and sentinel event.
The spread of infections, like pneumonia, is an infection control concern but not considered an internal disaster.
Unexpected staff absences disrupt the facility but they are not considered internal disaster.



Assessment of the client with an arteriovenous fistula for hemodialysis should include ______________.

  1. inspection for visible pulsation
  2. palpation of thrill
  3. percussion for dullness
  4. auscultation of blood pressure

Answer(s): B

Explanation:

Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible.
Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF.
Auscultation of the AVF, for a bruit, is part of an assessment for patency.



A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is _____________.

  1. standing the client and walking him or her to the wheelchair
  2. moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
  3. moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair.
  4. having the client stand and push his body to the wheelchair.

Answer(s): B

Explanation:

Moving the wheelchair close to client’s bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb.



Assessment of a client with a cast should include ______________.

  1. capillary refill, warm toes, no discomfort
  2. posterior tibial pulses, warm toes
  3. moist skin essential, pain threshold
  4. discomfort of the metacarpals

Answer(s): A

Explanation:

Assessment for adequate circulation is necessary.
Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.



In teaching clients with Buck’s Traction, the major areas of importance should be ______________.

  1. nutrition, ROM exercises
  2. ROM exercises, transportation
  3. nutrition, elimination, comfort, safety
  4. elimination, safety, isotonic exercises

Answer(s): C

Explanation:

Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids.



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