NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A nurse performs care on the client's Hickman catheter according to hospital policy. The client develops an infection and is considering litigation. The nurse's practice is:
Correct Answer: B
Rationale: Respondeat superior is Latin for 'The master is responsible for the acts of his servant'. The nurse, as an employee of the hospital, acted according to the established policy of the hospital. Because the nurse followed hospital policy, it is unlikely that this incident involved malpractice, negligence, or tort law. (CN: Management of care; CL: Evaluate)
Question 2 of 5
When caring for a client with myasthenia gravis who is receiving anticholinesterase drug therapy, the nurse must be able to distinguish cholinergic crisis from myasthenic crisis. Which of the following symptoms is not present in cholinergic crisis?
Correct Answer: A
Rationale: Improved muscle strength after edrophonium indicates myasthenic crisis, not cholinergic crisis, which involves excessive anticholinesterase effects.
Question 3 of 5
A mother is concerned about the amount of snacking her teenage boy is doing. She is concerned that this behavior could lead to obesity. Which of the following is an appropriate percentage of the daily diet to be obtained from snacks?
Correct Answer: B
Rationale: Snacks should contribute about 25% of daily caloric intake to balance nutrition without leading to excessive weight gain.
Question 4 of 5
The nurse is teaching a client about self-administration of insulin. Which site should the nurse recommend for fastest absorption?
Correct Answer: A
Rationale: The abdomen has the fastest insulin absorption rate due to its rich blood supply and minimal muscle interference.
Question 5 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is prescribed fluticasone (Flovent). The nurse should instruct the client to:
Correct Answer: B
Rationale: Rinsing the mouth after using fluticasone prevents oral candidiasis, a common side effect of inhaled corticosteroids.