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

Questions 149

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Question 1 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

Question 2 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

Question 3 of 5

The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

Correct Answer: B

Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.

Question 4 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 5 of 5

An RN is supervising a team of LPNs on the med-surg floor. All of the following tasks can be delegated to a competent LPN EXCEPT

Correct Answer: D

Rationale: Admissions assessments require RN judgment and are outside LPN scope. Sputum collection, catheterization, and inhaler administration are within LPN scope.

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