NCLEX 10000 questions with correct answers
A physician orders gentamicin sulfate, 80 mg I.V. every 8 hours for a
client with Pseudomonas aeruginosa. The nurse should infuse this drug
over at least: Correct Answer-30 min
A client with autoimmune thrombocytopenia and a platelet count of
8,000/μl develops epistaxis and melena. Treatment with corticosteroids
and immunoglobulins has been unsuccessful, and the physician
recommends a splenectomy. The client states, "I don't need surgery —
this will go away on its own." In considering her response to the client,
the nurse must depend on the ethical principle of: Correct Answer-
autonomy
A client with granulocytopenia has many visitors. The most important
measure to prevent infection is for the visitors to: Correct Answer-wash
their hands
A client with rheumatoid arthritis tells the nurse, "I know it is important
to exercise my joints so that I will not lose mobility, but my joints are so
stiff and painful that exercising is difficult." Which response by the
nurse would be most appropriate? Correct Answer-take a warm tub bath
or shower
A client has extreme fatigue and is malnourished, and laboratory tests
reveal a hemoglobin level of 8.5 g/dL (85 g/L). The nurse should
specifically ask the client about the intake of food high in which
nutrients? Correct Answer-B6 and B12, folate, iron, and copper
,The nurse is caring for a client being discharged following kidney
transplantation. The client is ordered mofetil to prevent organ rejection.
Which nursing instruction is essential regarding medication use? Correct
Answer-contact the health care provider
When a nurse removes an I.V. from an client with acquired
immunodeficiency syndrome (AIDS), blood splashes into her eyes.
What should the nurse do next? Correct Answer-rinse her eyes with
water, report the incident and go to employee health
The nurse is teaching the parents of a child with sickle cell disease. To
instruct them on how to prevent sickle cell crisis, she should include
which instruction? Correct Answer-drink at least 2 quarts of fluids per
dayadminster epinephrine
A client with rheumatoid arthritis is being discharged with a prescription
for aspirin, 600 mg P.O. every 6 hours. Which statement by the client
indicates understanding of the adverse effects of the medication? Correct
Answer-ill call my physician if i have ringing in the ears
Which symptom is an early indication that the client's serum potassium
level is below normal? Correct Answer-muscle weakness in the legs
The nurse is administering packed red blood cells (PRBCs) to a client.
The nurse should first: Correct Answer-stay with the client during the
first 15 min of infusion
, A client with rheumatoid arthritis has been on aspirin therapy for an
extended time. Which assessment is the most important for the nurse to
obtain? Correct Answer-hearing
A multidisciplinary oncology team of physicians, nurses, and the social
worker notes that a client who has been undergoing chemotherapy is
now experiencing pancytopenia. When reviewing the laboratory data,
which values support this diagnosis? Select all that apply. Correct
Answer-decreased white
decreased plate
decreased RBC
The nurse is developing a plan of care for a client who has joint stiffness
due to rheumatoid arthritis. Which measure will be the most effective in
relieving stiffness? Correct Answer-a warm shower before performing
activities of daily living
The teaching plan for the client with rheumatoid arthritis includes rest
promotion. What position of the involved joints should the nurse tell the
client to avoid when at rest? Correct Answer-maintaining the joints in a
flexed position
Which position would most help to decrease a client's discomfort when
the client's spouse injects vitamin B12 using the ventrogluteal site?
Correct Answer-lying on the and with toes pointed inward
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