NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?
Correct Answer: D
Rationale: A white blood cell count of 450 indicates severe immunosuppression, so the fruit should be removed to prevent infection from potential contaminants.
Question 2 of 5
A pneumonectomy is performed on a client with lung cancer. Which of the following would probably be omitted from the client's plan of care?
Correct Answer: A
Rationale: After a pneumonectomy, the affected lung is removed, and the pleural space fills with fluid naturally, so closed chest drainage is typically not used, unlike in other lung surgeries.
Question 3 of 5
Upon entering the client's room the nurse discovers a dose of amoxicillin at the bedside. Which of the following should the nurse do?
Correct Answer: A
Rationale: Documenting in the medical record and filing an incident report address the medication error and ensure follow-up for patient safety.
Question 4 of 5
A nurse is observing a local softball game when one of the players is hit in the nose with a ball. The player's nose is visibly deformed and bleeding. The best way for the nurse to control the bleeding is to:
Correct Answer: D
Rationale: Tilting the head forward and pinching the nostrils prevents blood from entering the airway and controls bleeding.
Question 5 of 5
The client with a myocardial infarction comes to the nurse's station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?
Correct Answer: B
Rationale: Denial involves refusing to acknowledge a serious condition.