NCLEX RN Practice Questions with Answers
Question 1 of 5.
A client receiving a blood transfusion begins to have chills and headache within the first 15 minutes of the transfusion. The nurse should first:
A. Administer acetaminophen.
B. Take the client's blood pressure.
C. Discontinue the transfusion.
D. Check the infusion rate of the blood.
Explanation: Chills and headache suggest a transfusion reaction, requiring immediate discontinuation of the transfusion to prevent further complications.
Question 2 of 5.
Conflicts, according to Lewin, include which types of conflict? Select all that apply.
A. Conceptualization conflicts
B. Avoidance - Avoidance conflicts
C. Approach - Approach conflicts
D. Resolvable conflicts
E. Unresolvable conflicts
F. Double Approach - Avoidance conflicts
G. Approach-Avoidance conflicts
Explanation: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.
Question 3 of 5.
The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
A. Assessment
B. Movement
C. Understanding level
D. Risks
Explanation: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.
Question 4 of 5.
Select the legal term that is accurately paired with its description.
A. Assault: Touching a person without their consent
B. Battery: Threatening to touch a person without their consent
C. Slander: False oral defamatory statements.
D. Slander: False written defamatory statements.
Explanation: Slander is correctly defined as false oral defamatory statements. Assault is threatening harm , battery is unauthorized touching , and libel is false written defamation .
Question 5 of 5.
Which of these clients is at greatest risk for falls?
A. A 77 year old female client in a client room that has low glare floors.
B. An 87 year old female client in a client room that has low glare floors.
C. A 27 year old sedated male client.
D. A 37 year old male client with impaired renal perfusion.
Explanation: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.
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