NCLEX-RN
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
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 3 of 5
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
Correct Answer: C
Rationale: A hemoglobin of 7 gm indicates significant blood loss, requiring immediate physician notification.
Question 4 of 5
A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT
Correct Answer: C
Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.
Question 5 of 5
While interviewing a client who abuses alcohol, the nurse learns that the client has experienced 'blackouts.' The wife asks what this means. The best response at this time is:
Correct Answer: A
Rationale: Blackouts in alcohol abuse refer to short-term memory amnesia, where the client cannot recall events during intoxication despite appearing conscious.