NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A nurse on the medical floor notices an increase in urinary tract infections (UTIs) among clients with indwelling urinary catheters. He records the findings and works with the unit manager and another nurse to develop a UTI risk assessment tool. Which is the correct description of the nurse's actions?
Correct Answer: D
Rationale: Developing a UTI risk assessment tool to reduce infections is a quality improvement initiative aimed at enhancing patient care outcomes.
Question 2 of 5
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.
Question 3 of 5
A client is receiving patient-controlled analgesia following surgery. Which statement by a family member indicates that the nurse needs to do further teaching?
Correct Answer: D
Rationale: Only the client should press the PCA button to prevent overdosing. Other statements reflect correct understanding.
Question 4 of 5
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
Correct Answer: C
Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.
Question 5 of 5
The doctor accidently cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:
Correct Answer: D
Rationale: Malpractice involves professional negligence by a healthcare provider, resulting in harm. The accidental cut leading to infection and brain damage constitutes malpractice.