NCLEX RN Questions with Detailed Explanations
Question 1 of 5.
The charge nurse on an antepartal unit is preparing to complete assignments for the day. There is an RN, licensed practical nurse (LPN), and an unlicensed personnel (UAP) to care for 25 clients. The nurse should assign which of the following clients to the:
A. A newly admitted G5 P2 Ab 2 with second trimester bleeding, reportedly currently saturating 1-2 pads in 12 hours.
B. A 22-year-old G2 P1 with urinary retention who is being catheterized with an intermittent in and out every 4 to 6 hours p.r.n. while awaiting urine cultures to be returned.
C. A G4 P2 with a twin pregnancy who was admitted in preterm labor and is now able to ambulate 2 to 3 times daily and having no contractions.
D. A 30-year-old G4 P0 who was admitted in sickle unless currently receiving blood and pain medication.
Explanation: The client with a stable twin pregnancy who is ambulating and has no contractions can be assigned to the LPN or UAP, as this client requires less complex care compared to others with active medical issues.
Question 2 of 5.
Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?
A. A Pedorthist
B. A pediatric nurse practitioner
C. A trauma certified clinical nurse specialist
D. A prosthetist
Explanation: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.
Question 3 of 5.
Number the priority of the following conditions using the numbers # 1 through # 6 with # 1 as the greatest priority and # 6 as the least priority. 1. Atrial fibrillation 2. First degree heart block 3. Shortness of breath upon exertion 4. An obstructed airway 5. Fluid needs 6. Respect and esteem by others
A. 3,4,2,1,5,6
B. 3,4,5,1,2,6
C. 2,3,5,1,4,6
D. 3,2,4,1,5,6
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework and Maslow's hierarchy, the correct order is: An obstructed airway (4, #1, life-threatening), Shortness of breath upon exertion (3, #2, breathing issue), Fluid needs (5, #3, physiological need), Atrial fibrillation (1, #4, potential circulatory issue), First degree heart block (2, #5, often asymptomatic), Respect and esteem by others (6, #6, psychological need). Thus, B (3,4,5,1,2,6) is correct.
Question 4 of 5.
Which of these statements related to information technology is accurate?
A. Social networks and cell phone cameras pose low risk in terms of information technology security and confidentiality.
B. The security of technological data and information in healthcare environments is most often violated by those who work there.
C. The security of technological data and information in healthcare environments is most often violated by computer hackers.
D. Computer data deletion destroys all evidence of the data.
Explanation: The most common breaches of healthcare data security occur internally by staff , through actions like unauthorized access or improper handling of information, rather than external hackers or low-risk social media . Data deletion does not always destroy all evidence.
Question 5 of 5.
Your client has an allergy to both penicillin and latex. Which of these pathophysiological facts should you apply when you are providing to this client?
A. The sensitizing dose of penicillin can lead to anaphylaxis.
B. The second dose of penicillin can lead to distributive shock.
C. You should be aware of the fact that about 10% of the population has an allergy to both penicillin and latex.
D. You should be aware of the fact that about 20% of the population has an allergy to both penicillin and latex.
Explanation: A sensitizing dose of penicillin can lead to anaphylaxis , a life-threatening allergic reaction, which is critical to consider when caring for a client with a penicillin allergy. The prevalence of dual allergies (C, D) is not accurate, and distributive shock is not specific to a second dose.
Related Questions