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NCLEX RN Practice Exam Questions

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Question 1 of 5

The nurse is reviewing the lab reports on several clients. Which one should be reported to the physician immediately?

Correct Answer: D

Rationale: A white cell count of 2,200 cu/mm indicates severe leukopenia, a serious side effect of Dilantin, requiring immediate reporting.

Question 2 of 5

A 15-year-old client was involved in an auto accident and requires emergency surgery to control bleeding, but both parents are out of town and unable to sign the consent form. Which of the following is the most appropriate action?

Correct Answer: D

Rationale: In an emergency where a minor requires life-saving surgery and parents are unavailable, the physician can proceed without consent (
D) to save the client's life. Client consent (
A), telephone consent (
B), or email consent (
C) are not appropriate in this urgent situation.

Question 3 of 5

The nurse is assessing a client following a coronary artery bypass graft (CABG). The nurse should give priority to reporting:

Correct Answer: B

Rationale: Confusion and restlessness may indicate cerebral hypoxia or other serious complications post-CABG, requiring immediate reporting.

Question 4 of 5

The clinic nurse is seeing a client who suffers from caregiver strain due to caring for her elderly parents who have dementia and live with her. Which action by the nurse during the assessment is most important?

Correct Answer: A

Rationale: Assessing support systems identifies resources to alleviate caregiver strain, guiding interventions to reduce stress.

Question 5 of 5

Each staff person has an individual password that allows access to electronic health records. Under which of the following circumstances should a nurse allow another staff person to use his/her password?

Correct Answer: D

Rationale: Passwords must not be shared (
D) to protect patient confidentiality and comply with HIPAA. Sharing with a physician (
A), nurse (
B), or supervisor (
C) is unauthorized.

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