NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nursing assistant assigned to care for a client receiving linear accelerator radium therapy for laryngeal cancer states, 'I don't want to be assigned to that radioactive patient.' The best response by the nurse is to:
Correct Answer: A
Rationale: Linear accelerator therapy delivers external radiation, so the client is not radioactive and poses no risk to staff.
Question 2 of 5
The nurse is performing discharge teaching for a client after a cardiac catheterization. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Applying an ice bag for bleeding is incorrect; direct pressure should be applied, and the physician notified. This statement indicates a need for further teaching.
Question 3 of 5
A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?
Correct Answer: C
Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.
Question 4 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 5 of 5
Which of the following clients has the highest risk for pulmonary complications after surgery?
Correct Answer: B
Rationale: Open cholecystectomy involves an upper abdominal incision, increasing the risk of pulmonary complications due to pain limiting deep breathing and coughing.