Exam (elaborations)
NCLEX Practice Exam/11 Questions with Solutions 2024
NCLEX Practice Exam/11 Questions with Solutions 2024
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NCLEX Practice Exam/11 Questionswith Solutions 2024
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. - -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 . - -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 - -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. -
-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.
(d) Page the physician and ask if it's acceptable for the staff member to
access the medical records. - -Correct answer: (b) Inform the staff member
that without a legitimate need for the information, staff should not be
reading the medical record.
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