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

Questions 149

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Question 1 of 5

The nurse has an order to administer 100 units of regular insulin in 500 mL of 0.9% NS to infuse at 12 units per hour. The nurse should program the IV pump to deliver how many mLs per hour?

Correct Answer: 60

Rationale: Concentration: 100 units/500 mL = 0.2 units/mL.
To deliver 12 units/hour: 12 ÷ 0.2 = 60 mL/hour.

Question 2 of 5

A client with metastatic cancer of the lung has just been told the prognosis by the oncologist. The nurse hears the client state, 'I don't believe the doctor; I think he has me confused with another patient.' This is an example of which of Kubler-Ross' stages of dying?

Correct Answer: A

Rationale: The client's statement reflects denial, a stage where patients refuse to accept a terminal diagnosis, per Kubler-Ross' model.

Question 3 of 5

A 52-year-old female had a hysterectomy 3 days ago and is recovering on the post-op floor. She is scheduled for an oral pain medication every 4 hours. She received her scheduled dose 1 hour ago but pushes the call light and complains of unrelenting and severe pain. The nurse should first

Correct Answer: D

Rationale: Severe, unrelenting pain post-hysterectomy suggests a complication (e.g., bleeding, infection). Notifying the physician for evaluation is the priority.

Question 4 of 5

A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:

Correct Answer: D

Rationale: A pulsatile mass in the periumbilical area is a classic symptom of an abdominal aortic aneurysm due to the expanding aorta.

Question 5 of 5

The nurse is supervising a student nurse on the oncology unit who is providing care for a client with neutropenic precautions. Which action by the student nurse requires intervention by the supervising nurse?

Correct Answer: C

Rationale: Potted plants pose an infection risk (e.g., mold) for neutropenic clients and are prohibited. Other actions are appropriate.

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