NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
Which nursing action is most essential for the hospitalized client with a new tracheostomy?
Correct Answer: D
Rationale: Maintaining a patent airway is the most critical action for a client with a new tracheostomy to ensure adequate oxygenation. Other actions are important but secondary to airway patency.
Question 2 of 5
A nurse is assessing a client who is receiving clozapine (Clozaril). The nurse reviews the chart below. What should the nurse do next?
Correct Answer: D
Rationale: Clozapine requires monitoring for agranulocytosis; abnormal findings (e.g., low white blood cell count) warrant withholding the drug and notifying the physician to prevent serious complications.
Question 3 of 5
A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child going to school and participating in social events. The nurse creating a plan of care should formulate which goals to address these concerns? Select all that apply.
Correct Answer: D,E
Rationale:
To effectively manage social events in the child's life, the family and the child need to integrate the care and management of diabetes into their daily living. In addition, the child's teachers and the school nurse should be aware of their concerns. The other options may be appropriate goals, but they do not deal with social issues.
Question 4 of 5
Thirty minutes after a Sengstaken-Blakemore tube is inserted, the nurse observes that the client appears to be having difficulty breathing. The nurse's first action should be to:
Correct Answer: C
Rationale: Difficulty breathing may indicate airway obstruction by the Sengstaken-Blakemore tube, so assessing this is the priority action.
Question 5 of 5
Which of the following is NOT a procedure to reduce risks associated with invasive surgeries?
Correct Answer: C
Rationale: Medication reconciliation ensures accurate medication lists but is not specific to reducing surgical risks, unlike site marking, time out, and neutral zones for sharps.