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 receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?

Correct Answer: A

Rationale: A trough level of 14 mcg/mL is within the therapeutic range (10–20 mcg/mL) for vancomycin, so the next dose can be given as ordered.

Question 3 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 4 of 5

The computers for documenting client care and treatment are located at the nursing station. Which of the following is the most important consideration regarding the computers?

Correct Answer: C

Rationale: Positioning computer screens away from unauthorized viewers (
C) protects patient confidentiality, a critical aspect of HIPAA compliance. Height (
A), ratio (
B), and brand (
D) are secondary considerations.

Question 5 of 5

A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?

Correct Answer: C

Rationale: Rooming-in with the parent promotes comfort and reduces anxiety for a hospitalized toddler.

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