NCLEX Questions, Free NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Practice Test Questions

Extract:


Question 1 of 5

The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

Correct Answer: B

Rationale: An RN has the authority to initiate seclusion based on clinical judgment.

Question 2 of 5

A client receiving Vancocin (vancomycin) has a serum level of 20 mcg/mL. The nurse knows that the therapeutic range for vancomycin is:

Correct Answer: B

Rationale: The therapeutic range for vancomycin is 10-25 mcg/mL, ensuring efficacy while minimizing toxicity; a level of 20 mcg/mL is within this range.

Question 3 of 5

The nurse is preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?

Correct Answer: A

Rationale: Beer, anchovies, and liver are high in purines, which exacerbate gout. Other foods listed are not primary triggers.

Question 4 of 5

The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?

Correct Answer: B

Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.

Question 5 of 5

An elderly adult has been admitted with a diagnosis of hypertension with a history of dementia. Which of the following nursing diagnoses has the highest priority for this client?

Correct Answer: D

Rationale: Dementia increases fall and injury risk due to impaired judgment and memory, making 'risk for injury' the priority.

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