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

Questions 149

NCLEX-RN

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Extract:


Question 1 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 2 of 5

The nurse is caring for a client who is at risk for altered fluid balance. Which signs and symptoms of dehydration would the nurse expect to find in this client? Select all that apply.

Correct Answer: B, C

Rationale: Increased hematocrit and orthostatic hypotension are signs of dehydration due to reduced plasma volume, while bounding pulses and decreased urine specific gravity are not typical.

Question 3 of 5

A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

Correct Answer: A

Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.

Question 4 of 5

Which action by the healthcare worker indicates a need for further teaching?

Correct Answer: D

Rationale: Wearing gloves to monitor the IV infusion rate is unnecessary unless contact with bodily fluids is anticipated, indicating a need for further teaching on infection control.

Question 5 of 5

The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

Correct Answer: B

Rationale: Apraxia is the inability to perform purposeful movements correctly, such as using a toothbrush to brush hair, despite knowing its function.

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