NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client nearing death has an Advance Directive in his records indicating that he does not want intravenous fluids or other invasive procedures, but the client's physician has ordered IV fluids. Which of the following initial actions by the nurse is most appropriate?
Correct Answer: B
Rationale: The nurse should first inform the physician of the Advance Directive (
B) to ensure the client's wishes are followed, as this is a legal document. Administering fluids (
C) violates the directive, and notifying the bioethics committee (
A) or supervisor (
D) is secondary.
Question 2 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.
Question 3 of 5
A client with AIDS-related cytomegalovirus is started on Cytovene (ganciclovir). The nurse should tell the client that the medication will be needed:
Correct Answer: D
Rationale: Ganciclovir is typically required lifelong for AIDS-related cytomegalovirus to prevent recurrence.
Question 4 of 5
A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:
Correct Answer: B
Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, indicating liver dysfunction, along with hemolysis and low platelet counts.
Question 5 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
Correct Answer: C
Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.