NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?
Correct Answer: F
Rationale: All listed actions are correct for NG medication administration. No intervention is needed.
Question 2 of 5
Which breakfast selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?
Correct Answer: D
Rationale: Skim milk is high in calcium, essential for bone health in osteoporosis. The other options lack significant calcium sources, making them less appropriate.
Question 3 of 5
The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:
Correct Answer: D
Rationale: Malpractice involves professional negligence causing harm, as in administering an incorrect dose of medication.
Question 4 of 5
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.
Question 5 of 5
The client pulls out the chest tube and fails to report the occurrence to the nurse. When the nurse discovers the incidence, he should take which initial action?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air entry into the pleural space, stabilizing the client until further intervention.