NCLEX-RN Exam Pack Set 4 (75 Questions & Answers Updated 2022) 1. 1. Question Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic ... stroke with residual left-sided weakness? Select all that apply. o A. Assist the patient to reposition every 2 hours. o B. Reapply pneumatic compression boots. o C. Remind the patient to perform active ROM. o D. Check extremities for redness and edema. Correct Answer: A, B, & C. The experienced nursing assistant would know how to reposition the patient and how to reapply compression boots and would remind the patient to perform activities he has been taught to perform. o Option D: Assessing for redness and swelling (signs of deep venous thrombosis {DVT}) requires additional education and is still appropriate to the professional nurse. 2. Question The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient? o A. Position the patient sitting up in bed before you feed her. o B. Check the patient’s gag and swallowing reflexes. o C. Feed the patient quickly because there are three more waiting. o D. Suction the patient’s secretions between bites of food. [Show More]
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