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
During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:
Correct Answer: A
Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.
Question 3 of 5
A client with inflammatory bowel disease (IBD) requires an ileostomy. The nurse would instruct the client to do which of the following measures as an essential part of caring for the stoma?
Correct Answer: D
Rationale: Meticulous cleansing of the peristomal skin prevents irritation and infection, which is critical for ileostomy care.
Question 4 of 5
The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?
Correct Answer: A
Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.
Question 5 of 5
In terms of cognitive development, a 2-year-old would be expected to:
Correct Answer: B
Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.