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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is working in a busy medical-surgical unit and has received report on the following four clients. The nurse should first see the client with

A. A client who underwent surgery yesterday and is complaining of incisional pain at a level of 8/10
B. new-onset atrial fibrillation who is complaining of chest pain.
C. diabetes who has a foot wound that appears infected and an oral temperature of 100.4°F (38°C)
D. advanced Alzheimer's disease who is confused and has had a recent fall.

Expert Explanatory Rationale

Correct Answer: new-onset atrial fibrillation who is complaining of chest pain.

Question 2 of 5

The nurse is caring for an infant who is experiencing a tetralogy of Fallot (tet) spell. The nurse should take which priority action?

A. Obtain a prescription for propranolol
B. Establish a peripheral vascular access device
C. Calm the infant
D. Notify the healthcare provider

Expert Explanatory Rationale

Correct Answer: Calm the infant

Question 3 of 5

A client has refused a prescribed injection of subcutaneous heparin. Which initial action should the nurse take?

A. Document the refusal
B. Notify the primary healthcare provider (PHCP)
C. Review the client's most recent platelet count
D. Inquire with the client about the refusal

Expert Explanatory Rationale

Correct Answer: Inquire with the client about the refusal

Question 4 of 5

The nurse working in the emergency department is caring for a client with carbon monoxide poisoning. Which of the following would be the priority action to treat this condition?

A. Initiate continuous pulse oximetry monitoring
B. Administer high-flow oxygen
C. Insert a peripheral vascular access device
D. Obtain a 12-lead electrocardiogram (ECG)

Expert Explanatory Rationale

Correct Answer: Administer high-flow oxygen

Question 5 of 5

The nurse is witnessing a client provide informed consent. The client is demonstrating which ethical principle?

A. Autonomy
B. Justice
C. Paternalism
D. Veracity

Expert Explanatory Rationale

Correct Answer: Autonomy

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