NCLEX Questions, Free NCLEX-PN Practice Questions Questions,

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She develops a neutropenia from the chemotherapy.

Question 1 of 5

Neutropenia means

Correct Answer: A

Rationale: Neutropenia involves low neutrophils, often with low WBC, platelets, and RBC in leukemia.

Extract:

Question 2 of 5

The nurse notes that a client has received a medication by mistake. What should the nurse do?

A. Notify the physician, complete an incident report and make a separate note, in the nursing documentation, of the error, the client's response, and any treatment received by the client due to the medication error B. Complete an incident report and reference it in the nurse's notes C. Make a note of the error and any treatment the client receives because of the error in the nurse's notes D. Report the error to the nursing supervisor and the client's physician and document any treatment prescribed in the nurse's notes

Correct Answer: D

Rationale: Reporting to the supervisor and physician with documentation of prescribed treatment ensures proper management of a medication error without referencing the incident report in notes.

Question 3 of 5

The nurse is discussing hemophilia with a group of parents. Which child is most likely to have classic hemophilia?

A. A male whose mother is a carrier B. A male whose father has the disease C. A female whose paternal uncle has the disease D. A female whose father has the disease

Correct Answer: A

Rationale: Classic hemophilia (
A) is X-linked recessive; males whose mothers are carriers have a 50% chance of inheriting it, as males inherit the X chromosome from their mother.

Question 4 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

A. The RN has no accountability for this situation B. The RN did not delegate appropriately C. The UAP is covered by the RN's license D. The UAP is responsible for following instructions

Correct Answer: D

Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

Question 5 of 5

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

A. Report the behavior to the charge nurse B. Talk with the client to find out about the preferred herbal preparation C. Contact the client's primary care provider D. Explain the importance of the medication to the client

Correct Answer: B

Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'

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