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
As the nurse hangs a bag of 3-in-1 total parenteral nutrition (TPN) for a client, a family member asks what is in the bag. The nurse explains a 3-in-1 TPN solution includes
Correct Answer: C
Rationale: 3-in-1 TPN contains dextrose (carbohydrates), amino acids (proteins), and lipids (fats), providing complete nutrition.
Question 3 of 5
The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?
Correct Answer: B
Rationale: irreversible disease that leads to permanent physical limitations
Question 4 of 5
A client is scheduled for a CT with and without contrast to rule out diverticulitis. Which medication on the client's medication list would be of concern to the nurse?
Correct Answer: C
Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.
Question 5 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.