NCLEX - National Council Licensure Examination NCLEX-RN 6

Question 1

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs, despite the physician's recommendation.
Which ethical principle is the nurse upholding by respecting the patient's decision?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Fidelity

Question 2

When performing a head-to-toe assessment, in which order should the nurse typically assess the abdomen?

Accepted Answer

Inspection, auscultation, percussion, palpation

Answer

Inspection, palpation, percussion, auscultation

Answer

Auscultation, percussion, palpation, inspection

Answer

Palpation, inspection, auscultation, percussion

Question 3

A nurse administers the wrong medication to a patient. The patient experiences no adverse effects. What is the nurse's most appropriate first action?

Accepted Answer

Notify the patient's physician and complete an incident report

Answer

Document the incident and monitor the patient closely

Answer

Reassure the patient and continue with the scheduled medications

Answer

Notify the charge nurse and withhold the correct medication

Question 4

A client with heart failure is prescribed furosemide. 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 therapeutic communication technique is MOST appropriate when a patient states, 'I'm afraid I might not survive this surgery'?

Accepted Answer

'Tell me more about what you're feeling.'

Answer

'I'm sure you'll be fine — the surgeon is very experienced.'

Answer

'Many patients feel that way before surgery.'

Answer

'You shouldn't think negatively about your outcome.'

Question 6

A nurse is planning care for a postoperative patient who has returned from surgery. Which assessment finding requires the nurse's IMMEDIATE attention?

Accepted Answer

Respiratory rate of 8 breaths per minute

Answer

Urine output of 35 mL over the past hour

Answer

Pain rating of 6 out of 10 at the incision site

Answer

Oral temperature of 37.8°C (100°F)