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

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

Correct Answer: A

Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.

Question 2 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

Question 3 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 4 of 5

After a train accident, the nurse is assigned to triage the injured. Based upon the triage protocol, which individual should be seen last?

Correct Answer: C

Rationale: Triage prioritizes life-threatening conditions. The 25-year-old with minor injuries (abrasion, swollen ankle) is the least urgent compared to potential cardiac, neurological, or traumatic injuries.

Question 5 of 5

A client states that he takes five grains of aspirin daily, but the hospital issues aspirin in milligrams. How many milligrams are approximately equivalent to five grains of aspirin?

Correct Answer: C

Rationale: One grain of aspirin is approximately 65 mg, so five grains = 5 X 65 = 325 mg (
C).

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