NCLEX-RN
NCLEX Questions Leadership and Management Questions
Question 1 of 5
The nurse is caring for assigned clients. The nurse should initially follow up on the client who is
Correct Answer: B
Rationale: Absent breath sounds with a chest tube for pneumothorax (
B) indicate a life-threatening complication, such as tube dislodgement or re-collapse, requiring immediate assessment. A fever post-hypophysectomy (
A) suggests infection but is less urgent. Nervousness from albuterol (
C) is a common side effect, and cramping during dialysis (
D) is less critical unless severe.
Question 2 of 5
The nurse has received the following information about assigned clients. The nurse should first assess the client with
Correct Answer: B
Rationale: Black, tarry stools in a client on warfarin (
B) suggest gastrointestinal bleeding, a life-threatening complication requiring immediate assessment. Respiratory acidosis (
A) is concerning but less acute if stable. Refusing to eat post-insulin (
C) risks hypoglycemia but is less urgent. Pancreatitis pain (
D) rated 3/10 is manageable.
Question 3 of 5
The nurse is caring for a client who is asking about advanced directives. Many documents fall under the category of an advanced directive. The nurse knows that one of the most common legal papers is called 'Durable Power of Attorney for Health Care' and works to:
Correct Answer: B
Rationale: A Durable Power of Attorney for Health Care (
B) authorizes a designated person to make medical decisions if the client is incapacitated. Reviewing preferences (
A) describes a living will. Honoring family wishes (
C) is not legally binding, and defining care across facilities (
D) overstates its scope.
Question 4 of 5
The nurse is demonstrating effective prioritization for assigned clients. Place the actions in the order in which they need to be performed, starting with the highest priority.
Correct Answer: C, D, B, E, A
Rationale: 1. Suctioning an endotracheal tube (
C) ensures airway patency, a life-saving priority. 2. Administering antihypertensives (
D) prevents cardiovascular complications. 3. Sterile dressing change (
B) prevents infection but is less urgent. 4. Bronchodilator (E) improves breathing but is long-acting, less time-sensitive. 5. Incident report (
A) is administrative and not urgent.
Question 5 of 5
The nurse has become aware of the following client situations. The nurse should first follow up with the client who
Correct Answer: C
Rationale: Sudden cessation of wheezing in asthma (
C) may indicate severe airway obstruction, a life-threatening emergency. Irregular pulse (
A), fever with influenza (
B), and catheter burning (
D) are concerning but less immediately critical.