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NCLEX Practice Questions and Correct Answers with Rationales (A+ GRADED 100% VERIFIED)
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NCLEX Practice Questions and Correct Answers with Rationales (A+ GRADED 100% VERIFIED)
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NCLEXPractice
Questions
After
receiving
report
at
the
start
of
the
evening
shift,
which
of
the
following
clients
should
the
nurse
attend
to
first?
(a)
A
34-year-old
man
undergoing
treatment
for
non-Hodgkin
lymphoma
with
a
potassium
level
of
7.5
mEq/L.
(b)
A
21-year-old
woman
with
sickle
cell
anemia
with
pain
of
6
on
a
scale
of
1-10.
(c)
A
55-year-old
woman
with
ovarian
cancer
waiting
to
be
discharged.
(d)
A
72-year-old
man
with
chronic
obstructive
pulmonary
disease
(COPD)
and
a
pulse
oximetry
of
96%
on
room
air.
-
ANS
Correct
answer:
(a)
A
34-year-old
man
undergoing
treatment
for
non-Hodgkin
lymphoma
with
a
potassium
level
of
7.5
mEq/L.
Rationale:
Hyperkalemia
is
a
potentially
serious
condition
that,
in
a
client
undergoing
treatment
for
non-Hodgkin
lymphoma,
could
indicate
tumour
lysis
syndrome.
Patient
(b)
should
be
attended
to,
but
her
condition
is
not
as
urgent.
Patients
(c)
and
(d)
do
not
require
immediate
attention.
A
34-year-old
woman
who
developed
Stevens-Johnson
syndrome
while
undergoing
treatment
with
carbamazepine
(Tegretol)
is
being
transferred
in
stable
condition
from
the
intensive
care
unit
to
the
medical
unit.
There
are
4
beds
available.
The
nurse
knows
the
best
choice
of
roommates
for
this
client
is
which
of
the
following?
(a)
A
40-year-old
man
with
methicillin-resistant
Staphylococcus
aureus
(MRSA).
(b)
A
28-year-old
woman
diagnosed
with
diarrhea.
(c)
A
72-year-old
man
with
fever
of
unknown
origin.
(d)
A
68-year-old
woman
with
atrial
fibrillation
.
-
ANS
Correct
answer:
(d)
A
68-year-old
woman
with
atrial
fibrillation.
Rationale:
A
client
with
Stevens-Johnson
syndrome
is
likely
to
have
severe
skin
integrity
issues,
including
blistering
and
skin
shedding,
which
can
place
the
client
at
high
risk
for
infection.
Atrial
fibrillation
is
not
an
infectious
process.
All
other
patients
may
be
an
infection
risk
for
an
individual
with
altered
skin
integrity .
A
72-year-old
man
who
had
a
stroke
is
being
transferred
from
a
medical
unit
to
a
rehabilitation
centre.
The
nurse
case
manager
is
assisting
in
the
process.
The
nurse
knows
that
the
goals
of
case
management
include
which
of
the
following?
Select
all
that
apply . (a)
Improving
the
coordination
of
care
(b)
Increasing
referrals
to
local
organizations
(c)
Reducing
the
fragmentation
of
care
(d)
Discharging
clients
quickly
-
ANS
Correct
answer:
(a)
Improving
the
coordination
of
care;
and
(c)
Reducing
the
fragmentation
of
care
Rationale:
Some
of
the
primary
goals
of
case
management
are
to
improve
the
coordination
of
care
and
to
reduce
fragmentation
of
care.
The
other
options
are
not
goals
of
case
management.
A
pregnant
woman
at
15
weeks'
gestation
is
scheduled
for
an
amniocentesis.
As
the
client
is
being
prepped
for
the
procedure,
it
becomes
clear
to
the
nurse
that
the
client
doesn't
fully
understand
the
risks
and
benefits
associated
with
the
procedure.
Which
of
the
following
describe
the
nurse's
role
in
obtaining
informed
consent?
Select
all
that
apply .
(a)
Explain
the
risks
and
benefits
associated
with
the
procedure.
(b)
Describe
alternatives
to
the
procedure.
(c)
Witness
the
client's
signature
on
the
consent
form.
(d)
Advocate
for
the
client
by
ensuring
she
is
making
an
informed
decision.
-
ANS
Correct
answer:
(c)
Witness
the
client's
signature
on
the
consent
form;
and
(d)
Advocate
for
the
client
by
ensuring
she
is
making
an
informed
decision.
Rationale:
Some
of
the
nurse's
roles
in
the
informed
consent
process
are
to
witness
the
signature
on
the
consent
form,
and
to
advocate
for
the
client
by
ensuring
she
has
been
provided
the
necessary
information
to
make
an
informed
decision.
It
is
the
physician's
duty
to
provide
information
to
the
client-related
risks
and
benefits,
and
to
provide
alternatives.
A
well-known
actor
has
been
admitted
to
an
ambulatory
surgical
unit.
The
nurse
notices
a
staff
member
who
is
not
involved
in
the
client's
care
reading
his
medical
record.
The
nurse
knows
she
should
FIRST
do
which
of
the
following?
(a)
Nothing.
The
staff
member
has
a
hospital
ID
badge
and
is
authorized
to
read
the
medical
record.
(b)
Inform
the
staff
member
that
without
a
legitimate
need
for
the
information,
staff
should
not
be
reading
the
medical
record.
(c)
Tell
the
client
his
medical
records
have
been
read
by
an
unauthorized
individual.
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