RN NCLEX Next Gen Questions Questions

Question 1 of 5

Which statement about targeted assessments is accurate?

A. The need for a targeted assessment is based on the application of the nurse's knowledge of pathophysiology and the presenting symptoms.B. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays.C. Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.D. Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.

Correct Answer: A

Rationale: Targeted assessments focus on specific health issues based on the nurse's knowledge of pathophysiology and the patient's presenting symptoms, allowing for a focused evaluation rather than a comprehensive one.

Question 2 of 5

A client has a positive sputum culture for Mycobacterium tuberculosis and is prescribed streptomycin as part of the treatment. The nurse determines that the client is experiencing a toxic effect of the medication when which test result is abnormal?

A. Vision testingB. Hepatic enzymesC. Hemoglobin and hematocritD. Blood urea nitrogen (BUN) and creatinine

Correct Answer: D

Rationale: BUN and creatinine are measured during therapy with streptomycin because the medication is nephrotoxic. Vision testing is done during treatment with ethambutol. The client taking isoniazid for tuberculosis is at risk for hepatotoxicity. Hemoglobin and hematocrit are not specifically related to tuberculosis.

Question 3 of 5

A client with a history of cirrhosis is admitted with jaundice. The nurse should include which of the following in the plan of care?

A. Monitor for signs of bleeding.B. Encourage a high-fat diet.C. Administer vitamin C.D. Restrict protein intake.

Correct Answer: A

Rationale: Jaundice in cirrhosis indicates liver dysfunction, increasing bleeding risk due to impaired clotting factor production.

Question 4 of 5

The nurse is preparing to administer a measles, mumps, and rubella (MMR) vaccine to a 15-month-old. Where should the nurse administer the injection?

A. Deltoid muscleB. Vastus lateralis muscleC. Gluteal muscleD. Subcutaneous tissue of the abdomen

Correct Answer: B

Rationale: The vastus lateralis is the preferred site for intramuscular vaccines like MMR in toddlers due to adequate muscle mass and low risk of nerve damage.

Question 5 of 5

The nurse manager is developing a 'read-back' procedure to reduce medication administration errors. Which of the following are purposes of the 'read-back' requirement? Select all that apply.

A. To prohibit orders and test results from being communicated verbally or by telephone.B. To ensure that orders and test results that are communicated verbally or by telephone are clear to the receiver of the information.C. To make sure that orders and test results that are communicated verbally or by telephone are confirmed by the individual giving the information.D. To minimize the risk of non-authorized personnel from giving orders which are communicated verbally or by telephone.E. To encourage the use of electronic medical records.

Correct Answer: B,C,D

Rationale: Read-back ensures clarity, confirmation, and authorized communication of verbal orders, reducing errors. It does not prohibit verbal orders or mandate electronic records.

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