NCLEX Practice Questions
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Nclex Practice Questions & Proper Answers 2024 ( A+ Graded
100% Verified)
1.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.
2. 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.
3. 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.
1/5
, NCLEX Practice Questions
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(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.
4. 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.
5. 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.
2/5
Study online at https://quizlet.com/_1mralz
Nclex Practice Questions & Proper Answers 2024 ( A+ Graded
100% Verified)
1.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.
2. 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.
3. 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.
1/5
, NCLEX Practice Questions
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(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.
4. 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.
5. 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.
2/5
