NCLEX-RN
Fundamentals of Nursing NCLEX RN Questions Questions
Question 1 of 5
The nurse is caring for a client ordered a 24-hour urine specimen collection. What action should the nurse take after collecting the first specimen?
Correct Answer: B
Rationale: The first voided specimen is discarded to start the 24-hour collection fresh, ensuring accurate timing. Saving or partially collecting is incorrect.
Question 2 of 5
The nurse has attended a continuing education conference about infection control precautions. It would indicate a correct understanding of the education if the nurse is observed?
Correct Answer: A
Rationale: Dedicated equipment for C. difficile prevents transmission. N95 is not needed for epiglottitis, masks are not required for mononucleosis transport, and cryptococcal meningitis does not require a closed door.
Question 3 of 5
The nurse is performing a fall risk assessment on a group of clients. It would be appropriate for the nurse to identify the client at risk for falls who. Select all that apply.
Correct Answer: A,B,D
Rationale: Older adults, those with prior falls, and postural hypotension increase fall risk. Oral antibiotics and non-slip shoes do not contribute to fall risk.
Question 4 of 5
The nurse reviews a client’s laboratory data before a scheduled surgery. Which laboratory data requires immediate follow-up?
Correct Answer: B
Rationale: Abnormal potassium levels can cause cardiac arrhythmias, a critical risk during surgery, requiring immediate follow-up. Sodium, BUN, and creatinine abnormalities are less immediately life-threatening but still important.
Extract:
Health History
45-year-old female admitted for laparoscopic cholecystectomy. The client recently had a weight loss of ten kilograms through dieting, and cholelithiasis was subsequently discovered. The client is alert and oriented x 4. No known drug allergies. No surgical history. The client takes levothyroxine for hypothyroidism.
• Vital Signs
Oral temperature 97 F (36° C); Pulse 90 bpm; Respirations 18; BP 110/64 mm Hg; Oxygen saturation 96% on room air.
Question 5 of 5
A nurse is caring for a client in a surgery center scheduled for laparoscopic cholecystectomy.Click to specify if the nursing intervention is completed during the preoperative, intraoperative, or postoperative phase. Each intervention may be completed in more than one phase. Each row must have at least one but may have more than one response option selected.
| Intervention | Preoperative | Intraoperative Postoperative |
|---|---|---|
| Verify the client’s name and date of birth | ||
| Verify the client’s nothing-by-mouth (NPO) status | ||
| Administration of prophylactic antibiotic | ||
| Obtaining laboratory work such as complete blood count, clotting studies, and pregnancy test | ||
| Assessment of the surgical incision site for type and amount drainage | ||
| Verifying that the informed consent has been completed | ||
| Confirming the correct sponge and instrument count |
Correct Answer:
Rationale: