Best NCLEX RN Question Bank
Question 1 of 5.
A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?
A. Check the sodium level.
B. Call the primary health care provider.
C. Encourage an extra 500 mL of fluid intake.
D. Teach the client about foods low in potassium.
Explanation: The client with hyperkalemia is at risk of developing cardiac dysrhythmias and resultant cardiac arrest. Because of this, the primary health care provider must be notified at once so that the client may receive definitive treatment. The nurse might also check the result of a serum sodium level, but this is not a priority action of the nurse. Fluid intake would not be increased because it would contribute to fluid overload and would not effectively lower the serum potassium level. Dietary teaching may be necessary at some point, but this action is not the priority.
Question 2 of 5.
Select the member of the multidisciplinary team that you would most likely collaborate with when the client is at risk for falls due to an impaired gait.
A. The physical therapist
B. The occupational therapist
C. The podiatrist
D. The nurse practitioner
Explanation: A physical therapist specializes in assessing and improving gait and mobility, making them the most appropriate team member to collaborate with for a client at risk for falls due to impaired gait.
Question 3 of 5.
Which of the following terms is used to describe the sound, timely, smooth, unfragmented and seamless transition of the client from one level of acuity to another?
A. Case management
B. Continuity of care
C. Medical necessity
D. Critical pathway
Explanation: Continuity of care refers to the seamless, coordinated transition of a client across different levels of care, ensuring consistent and effective treatment.
Question 4 of 5.
Which of the following is most closely aligned with the principles and concepts of informed consent?
A. Justice
B. Fidelity
C. Self determination
D. Nonmalficence
Explanation: Informed consent is most closely aligned with self-determination , as it empowers clients to make autonomous decisions about their care based on full disclosure of information.
Question 5 of 5.
Which question is asked more than any other root cause analysis activity?
A. What?
B. Why?
C. Who?
D. When?
Explanation: The 'Why?' question is central to root cause analysis, as it drives the investigation into the underlying causes of an event through techniques like the '5 Whys.'
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