NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse answers a call to the unit, which turns out to be a bomb threat. Which actions by the nurse are correct? Select all that apply.
Correct Answer: B, D
Rationale: Following protocol and alerting authorities ensure safety and proper response, while dismissing the threat or evacuating without orders is unsafe.
Question 2 of 5
The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:
Correct Answer: B
Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.
Question 3 of 5
A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?
Correct Answer: B
Rationale: The rubella vaccine is contraindicated in clients with egg allergies, as it may be grown in egg-based cultures.
Question 4 of 5
The nurse reviews a 21-year-old female's bloodwork from the lab. Which result would be charted as an abnormal finding?
Correct Answer: C
Rationale: WBC 15.6 (normal 4.5-11.0 x 10³/μL) is elevated, indicating possible infection or inflammation. Platelets (150-450 x 10³/μL) are slightly low, RBC (4.2-5.4 million/μL) and hematocrit (36-46%) are normal for females.
Question 5 of 5
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy, the risk of bleeding and aspiration is a priority due to the surgical site in the throat.