NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will

Correct Answer: A

Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.

Question 2 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 3 of 5

The nurse begins administration of blood to a client on a medical unit. The nurse knows that which of the following activities is inappropriate to delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Explaining the reason for a transfusion requires clinical knowledge and is outside the UAP’s scope. Other tasks are appropriate for delegation.

Question 4 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.

Question 5 of 5

The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:

Correct Answer: D

Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).

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