NCLEX - National Council Licensure Examination NCLEX-RN 5

Question 1

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs, even though the physician considers it medically necessary.
Which ethical principle is the nurse upholding by supporting the patient's decision?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Nonmaleficence

Question 2

When performing a head-to-toe physical assessment, which area should the nurse assess FIRST?

Accepted Answer

Neurological status and level of consciousness

Answer

Abdomen

Answer

Extremities

Answer

Integumentary system

Question 3

A nurse is preparing to administer a medication and discovers the patient's armband is missing. What is the most appropriate action?

Accepted Answer

Replace the armband before administering the medication

Answer

Ask the patient to state their name and proceed with administration

Answer

Check the patient's chart and administer the medication if the room number matches

Answer

Administer the medication and document the missing armband afterward

Question 4

A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor most closely?

Accepted Answer

Serum potassium

Answer

Serum sodium

Answer

Serum calcium

Answer

Serum magnesium

Question 5

Which of the following actions by a graduate nurse demonstrates understanding of the concept of delegation?

Accepted Answer

Asking a UAP to measure and record a stable patient's vital signs

Answer

Delegating a complex wound dressing change to an unlicensed assistive personnel (UAP)

Answer

Having a UAP administer oral medications to alert and oriented patients

Answer

Delegating the assessment of a newly admitted patient to a UAP

Question 6

A nurse is caring for a post-operative patient who reports pain of 8/10 and has an order for morphine sulfate. Before administering the medication, which assessment is the priority?

Accepted Answer

Respiratory rate

Answer

Blood pressure

Answer

Temperature

Answer

Heart rate