NCLEX-PN
Nclex Practice Questions 2024 Questions
Extract:
Question 1 of 5
A 24-year-old female client is scheduled for surgery in the morning. What is the primary responsibility of the nurse?
Correct Answer: A
Rationale: The primary responsibility of the nurse is to take the vital signs before any surgery. This action helps assess the client's baseline condition and identify any abnormalities that need addressing before the procedure. Obtaining the permit (choice
B) is typically handled by administrative staff, explaining the procedure (choice
C) is usually done by the healthcare provider performing the surgery, and checking the lab work (choice
D) is often part of the pre-operative assessment conducted by the healthcare provider.
Therefore, in this context, these actions are not the primary responsibility of the nurse.
Question 2 of 5
Which laboratory test would be the least effective in diagnosing a myocardial infarction?
Correct Answer: A
Rationale: AST, choice A, would be the least effective in diagnosing a myocardial infarction as it is not specific for this condition. Troponin, CK-MB, and myoglobin (choices B, C, and
D) are more specific markers for myocardial infarction. Troponin is considered the gold standard due to its cardiac specificity. CK-MB is also specific to the heart, and its isoenzyme levels elevate post-heart damage. Myoglobin, although elevated in myocardial infarction, is not as specific as troponin and CK-MB and can also increase in conditions like burns and muscle trauma.
Therefore, AST is the least effective choice for diagnosing a myocardial infarction.
Question 3 of 5
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture?
Correct Answer: D
Rationale: A culture for gonorrhea is taken from the genital secretions as gonorrhea primarily affects the genital area. The culture is incubated in a warm environment to promote the growth of Neisseria gonorrhoeae, the bacterium causing gonorrhea. Genital secretions provide a direct sample from the site of infection, increasing the accuracy of diagnosis.
Choices A, B, and C are incorrect as they are not suitable specimens for diagnosing gonorrhea. Blood cultures are used to detect bloodstream infections, nasopharyngeal secretions are collected for respiratory infections, and stool cultures are done to identify gastrointestinal infections, none of which are related to gonorrhea.
Question 4 of 5
A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?
Correct Answer: A
Rationale: Corrected
Rationale: Packed red blood cells contain antigens and antibodies that must be matched between the donor and recipient to prevent transfusion reactions. Platelets, plasma, and granulocytes do not contain red blood cells, so they do not require cross-matching. Platelets are matched based on ABO compatibility, while plasma and granulocytes are not routinely cross-matched as they lack red cell antigens.
Question 5 of 5
A 24-year-old female client is scheduled for surgery in the morning. What is the primary responsibility of the nurse?
Correct Answer: A
Rationale: The primary responsibility of the nurse is to take the vital signs before any surgery. This action helps assess the client's baseline condition and identify any abnormalities that need addressing before the procedure. Obtaining the permit (choice
B) is typically handled by administrative staff, explaining the procedure (choice
C) is usually done by the healthcare provider performing the surgery, and checking the lab work (choice
D) is often part of the pre-operative assessment conducted by the healthcare provider.
Therefore, in this context, these actions are not the primary responsibility of the nurse.