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

Questions 148

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Question 1 of 5

The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?

Correct Answer: C

Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of chronic lymphocytic leukemia about infection prevention. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding crowds and sick individuals reduces the risk of infection in immunocompromised clients

Question 3 of 5

While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:

Correct Answer: B

Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.

Question 4 of 5

The nurse is caring for a client with chronic kidney failure who is receiving Epoetin alfa. The nurse understands which statement to be true regarding this medication?

Correct Answer: D

Rationale: Epoetin alfa stimulates red blood cell production and is typically given weekly via IM or subcutaneous routes. Other options misrepresent its effects or side effects.

Question 5 of 5

The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:

Correct Answer: B

Rationale: Standing at the foot of the bed minimizes radiation exposure by maximizing distance, adhering to radiation safety principles.

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