NCLEX-RN
NCLEX Questions on Leadership and Management Questions
Question 1 of 5
The nurse has completed medication administration to assigned clients. The nurse should initially follow up on the client who received prescribed
Correct Answer: C
Rationale: Fever after fluphenazine (
C) suggests neuroleptic malignant syndrome, a life-threatening emergency requiring immediate follow-up. Sleepiness with mirtazapine (
A), nausea with citalopram (
B), and dizziness with clonidine (
D) are expected side effects and less urgent.
Question 2 of 5
The registered nurse (RN) observes licensed practical/vocational nurses (LPN/VN) care for assigned clients. Which of the following actions by the LPN would require the RN to intervene? Select all that apply.
Correct Answer: A, B, D, E
Rationale: Irrigating with tap water (
A) risks infection, insulin for NPO client (
B) risks hypoglycemia without RN assessment, clamping a chest tube (
D) risks pneumothorax, and using a gait belt for log rolling (E) is incorrect technique. ECG (
C) is within LPN scope.
Question 3 of 5
A hospital is initiating its emergency disaster plan following a mass casualty incident. Which client should the nurse recommend for discharge in preparation for the incoming clients?
Correct Answer: B
Rationale: The client with atrial fibrillation, now stable on oral anticoagulants (
B), is the most suitable for discharge to free beds. Diabetic ketoacidosis (
A), pneumonia with oxygen (
C), and recent post-operative fracture (
D) require ongoing hospital care.
Question 4 of 5
The nurse manager plans to reduce supply-related costs within the nursing unit. While evaluating nursing staff, which observation demonstrates an ineffective use of resources? Select all that apply.
Correct Answer: A, D
Rationale: Wearing gloves for meal tray distribution (
A) and sterile gloves for perineal care (
D) are excessive, as non-sterile gloves suffice, wasting resources. Sterile water for NG irrigation (
B), dedicated cuffs for precautions (
C), and new IV tubing for TPN (E) are appropriate practices.
Question 5 of 5
The nurse is caring for assigned clients. The nurse should initially assess the client who was admitted for
Correct Answer: B
Rationale: New disorientation in SIADH (
B) suggests severe hyponatremia, a neurological emergency requiring immediate assessment. Non-elevated troponin (
A), oliguria in AKI (
C), and post-cholecystectomy pain (
D) are less urgent, though AKI requires monitoring.