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NCLEX RN· RN Leadership and Management · Leadership and Management NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who expresses feeling self-conscious about their hair and states they would like to wash it before undergoing diagnostic tests and procedures. How should the nurse prioritize the client's care?

A. Offer the client a cap or scarf to cover their hair and suggest washing it after the diagnostic tests are complete.
B. The nurse should schedule the testing and meal planning first and complete hygiene as time permits.
C. Perform the dressing changes first, schedule testing, counsel, and complete hygiene last.
D. Arrange to wash the client's hair first, perform hygiene, and then complete the diagnostic testing and counseling.

Expert Explanatory Rationale

Correct Answer: Offer the client a cap or scarf to cover their hair and suggest washing it after the diagnostic tests are complete.

Question 2 of 5

The charge nurse is making assignments in the intensive care unit (ICU) and is making client assignments for a nurse floated from the medical-surgical (med-surg) unit. Which client would be appropriate to assign to the nurse floated from med-surg?

A. A client with bacteremia who is suspected of developing shock.
B. A client requiring the titration of intravenous (IV) vasopressors based on hemodynamic monitoring.
C. A client receiving intravenous (IV) antibiotics and nebulizer treatments for pneumonia.
D. A client with targeted temperature management three hours after experiencing cardiac arrest.

Expert Explanatory Rationale

Correct Answer: A client receiving intravenous (IV) antibiotics and nebulizer treatments for pneumonia.

Question 3 of 5

The nurse has been made aware of the following client situations. The nurse should initially follow up with the client who

A. had an adrenalectomy 24 hours ago and has become restless with the most recent blood pressure (BP) of 98/60 mm Hg.
B. has a continuous infusion of heparin for the treatment of a pulmonary embolism (PE) and has an activated partial thromboplastin time (aPTT) of 70 seconds (normal 30-40 seconds).
C. is receiving mechanical ventilation to treat hospital-acquired pneumonia (HAP) and was last suctioned via the endotracheal (ET) tube two hours ago.
D. has a newly placed chest tube for hemothorax and has had 45 mL of bright red drainage in the past hour.

Expert Explanatory Rationale

Correct Answer: had an adrenalectomy 24 hours ago and has become restless with the most recent blood pressure (BP) of 98/60 mm Hg.

Question 4 of 5

The emergency department (ED) nurse is caring for a client brought in after being found walking around a neighborhood without shoes, confused and disoriented. The nurse should initially

A. obtain vital signs.
B. perform a mental status exam.
C. attempt to locate the client’s family.
D. request an order for a psychiatry consultation.

Expert Explanatory Rationale

Correct Answer: obtain vital signs.

Question 5 of 5

The nurse in the emergency department (ED) is caring for a client and establishes continuous cardiac monitoring. Which initial action should the nurse take based on the electrocardiogram tracing? See the exhibit for additional client information.

A. Establish vascular access and request a prescription for atropine
B. Assess the client's blood pressure and level of consciousness
C. Obtain and review the client's current medications
D. Document the findings and reassess the client in one hour

Expert Explanatory Rationale

Correct Answer: Assess the client's blood pressure and level of consciousness

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