The nurse is supervising a newly hired nursing assistant (NA... | NCLEX PN-Practice Exam-2

Practice Question

The nurse is supervising a newly hired nursing assistant (NA). The NA is providing oral care to an unconscious client. Which of the following actions made by the NA would indicate that the NA requires further instructions from the LPN?

Answer Choices:

A. Assuring the client remains in the lateral position for 30 minutes after oral care

B. Placing a towel under the client’s chin prior to completing oral care

C. Positioning the client in an upright position while providing oral care ✓ Correct Answer

D. Placing the client in the lateral position with the head turned to the side during oral care

Correct Answer:

Positioning the client in an upright position while providing oral care

Rationale:

🛏️Unconscious clients should be placed in a side-lying position, not upright, to prevent aspiration.

🚑An upright position may increase aspiration risk if the client cannot protect their airway.

🧼Placing a towel under the chin and turning the head to the side help to drain secretions safely during oral care.

📋Proper positioning is crucial to maintaining airway safety and reducing complications in unconscious clients.

📌Core Message

Oral care for unconscious clients requires lateral positioning to prevent aspiration and ensure safety.

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This question is from NCLEX PN-Practice Exam-2 which contains 130 questions.

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NCLEX PN-Practice Exam-2

130 Questions

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Question Details

Category: NCLEX PN
Subcategory: NCLEX-PN Practice Exams
Domain: NCLEX-PN (Practice Exams)
Answer Choices: 4

Rhenis Nursing

Practice Question

The nurse is supervising a newly hired nursing assistant (NA). The NA is providing oral care to an unconscious client. Which of the following actions made by the NA would indicate that the NA requires further instructions from the LPN?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse manager of a mental health unit is reviewing a chart entry made by a staff member. The entry reads: "I feel unloved; appears confused and restless." Which of the following statements best describes why this nursing documentation is incorrect?

The nurse determines the body mass index (BMI) for a seven-year-old boy to be 15.5. According to the chart below, this places the client at which percentile?

A client has just lost his job. He says he’s worried that he won’t be able to afford his mortgage. The nurse knows that mild levels of anxiety can cause which of the following?

A pregnant client is admitted into the hospital due to preterm labor. She tells the nurse that she is going to go home right now because she cannot stand being in the hospital another minute. Which of the following should the nurse do first?

A nurse is participating in a staff development program on illicit drug overdose. The nurse recognizes additional teaching is not needed when a staff member states that clients with suspected cocaine overdose are at risk for?

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NCLEX PN-Practice Exam-2

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