NCLEX Practice Questions Questions
and Correct Answers/ Latest Update /
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After receiving report at the start of the evening shift, which of the
following clients should the nurse attend to first?
(a) A 34-year-old man undergoing treatment for non-Hodgkin
lymphoma with a potassium level of 7.5 mEq/L.
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on a
scale of 1-10.
(c) A 55-year-old woman with ovarian cancer waiting to be
discharged.
(d) A 72-year-old man with chronic obstructive pulmonary disease
(COPD) and a pulse oximetry of 96% on room air.
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Ans: Correct answer: (a) A 34-year-old man undergoing treatment for
non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L.
Rationale: Hyperkalemia is a potentially serious condition that, in a client
undergoing treatment for non-Hodgkin lymphoma, could indicate tumour
lysis syndrome. Patient (b) should be attended to, but her condition is not
as urgent. Patients (c) and (d) do not require immediate attention.
A 34-year-old woman who developed Stevens-Johnson syndrome
while undergoing treatment with carbamazepine (Tegretol) is being
transferred in stable condition from the intensive care unit to the
medical unit. There are 4 beds available. The nurse knows the best
choice of roommates for this client is which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus
aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.