NCLEX-RN
NCLEX RN Questions with Detailed Explanations Questions
Extract:
Question 1 of 5
Which of the following is true with regard to delegation of client care responsibilities? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Delegation involves understanding the care model, validating caregiver competency, determining tasks, and documenting delegation, but not delegating based solely on time demands.
Question 2 of 5
The nurse is caring for a 25-year-old client who will undergo bilateral orchiectomy for testicular cancer. Considering the nature of the illness, the nurse should make it a priority to explore which potential psychological concern with this client?
Correct Answer: C
Rationale: Although the client will need factual information about the postoperative period and recuperation, the nurse should place priority on addressing loss of reproductive ability as a psychological concern. The radical effects of this surgery in the reproductive area make it likely that the client may have some difficulty in adjustment to this consequence of surgery.
Question 3 of 5
Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?
Correct Answer: D
Rationale: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.
Question 4 of 5
A client with a diagnosis of gout is prescribed allopurinol (Zyloprim). The nurse should instruct the client to:
Correct Answer: A,B
Rationale: Taking allopurinol with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
Question 5 of 5
A client with a diagnosis of schizophrenia is prescribed clozapine (Clozaril). The nurse should monitor the client for which of the following serious side effects?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, a life-threatening reduction in white blood cells, requiring regular monitoring of white cell counts.