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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:

Correct Answer: B

Rationale: A trough level for vancomycin is drawn just before the next dose (e.g., 30 minutes before the fourth infusion) to assess the lowest drug concentration.

Question 2 of 5

Which action by the novice nurse indicates a need for further teaching?

Correct Answer: A

Rationale: Failing to wear gloves violates infection control standards.

Question 3 of 5

The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:

Correct Answer: C

Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.

Question 4 of 5

The nurse is caring for a client with osteoporosis who is being discharged on (alendronate) Fosamax. Which statement would indicate a need for further teaching?

Correct Answer: A

Rationale: Alendronate (Fosamax) should be taken in the morning on an empty stomach, not before bedtime, to prevent esophageal irritation. The other statements are correct.

Question 5 of 5

A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?

Correct Answer: D

Rationale: Pernicious anemia requires dietary B12 (found in eggs, meat, milk). Other options lack significant B12.

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