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National Council Licensure Examination(NCLEX-PN) Questions 411–415 (page: 84)

Updated On: 9-Feb-2026

In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except ______________.

  1. diabetic signs and symptoms
  2. nutritional status
  3. bleeding problems
  4. availability of insulin

Answer(s): C

Explanation:

Bleeding problems are not characteristic of diabetes.
All the other options are appropriate areas of assessment.



In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?

  1. Place extra padding under the mother to absorb blood from the delivery.
  2. Cut the umbilical cord using sterile scissors.
  3. Suction the baby’s mouth and nose.
  4. Wrap the baby in a clean blanket to preserve warmth.

Answer(s): C

Explanation:

After the baby delivers, the nurse should clear the mouth and nose of the infant first. Choice “Wrap the baby in a clean blanket to preserve warmth.” is the next step.
Choices “Place extra padding under the mother to absorb blood from the delivery.” and “Cut the umbilical cord using sterile scissors.” might be performed depending on the situation.



Ethical and moral issues concerning restraints include all of the following except ______________.

  1. emotional impact on the client and family
  2. dignity of the client
  3. client’s quality of life
  4. policies and procedures

Answer(s): D

Explanation:

Policies and procedures, though important, are not in the category of ethical and moral issues. The other options are ethical and moral issues.



Attaching a restraint to a side rail or other movable part of the bed can ______________.

  1. do nothing to the client
  2. injure the client if the rail or bed is moved
  3. help the client stay in the bed without falling out
  4. help the client with better posture

Answer(s): B

Explanation:

Attaching a restraint to a movable part of the bed can cause client injury if that part of the bed is moved before releasing restraints.



How often must physical restraints be released?

  1. every 2 hours
  2. between 1 and 3 hours
  3. every 30 minutes
  4. at least every 4 hours

Answer(s): A

Explanation:

Restraints must be released every 2 hours, and the client must be assessed every 30 minutes while restrained.



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