July 27 -NCLEX Daily Practice Questions

Saturday

Which are correct understandings of applying nursing ethical principles? Select all that apply.

1. Autonomy is requiring the client to have an advance directive
2. Beneficence is withholding prognosis from a client due to family wishes
3. Fidelity is administering medication as prescribed to the client
4. Justice is telling the client the truth that the biopsy is positive
5. Nonmaleficence is refusing to give report to a nurse who is impaired
Ethical principles guide the nurse in making appropriate decisions and acting accordingly. They speak to the essence but not to the specifics of the law. Fidelity is exhibiting loyalty and fulfilling commitments made to oneself and others. It includes meeting the expected responsibilities of professional nursing practice and provides the basis of accountability (taking responsibility for one’s actions) (Option 3). Nonmaleficence means to do no harm and relates to protecting clients from danger when they are unable to do so themselves due to a mental/physical condition (eg, children, client with Alzheimer disease) and from a nurse who is impaired (Option 5). (Option 1) Autonomy is the right to make decisions for oneself (eg, informed consent). Although having an advance directive is an example of autonomy, requiring one violates this principle. The client has a right to refuse even if the nurse believes it is in the client’s best interest. (Option 2) When a diagnosis is withheld, even if due to the nurse’s or family’s good intentions, it violates the principle of autonomy. Beneficence means to do good (eg, implementing interventions to promote the client’s well-being). (Option 4) The principle of justice refers to treating all clients fairly (ie, without bias). Veracity is telling the truth as a fundamental part of building a trusting relationship.

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NCLEX Lab Values Practice Questions # 01

NCLEX Lab Values Practice Questions # 01

1 / 10

A client's lab results show a blood urea nitrogen (BUN) level of 25 mg/dL and a creatinine level of 1.8 mg/dL. What do these findings suggest?

2 / 10

A client’s lab results indicate a white blood cell (WBC) count of 15,000/mm³. What might this lab value suggest?

3 / 10

The nurse notes that a client's platelet count is 90,000/µL. Which is the most appropriate intervention?

4 / 10

A client's laboratory results show a fasting blood glucose level of 130 mg/dL. What condition does this value indicate?

5 / 10

The nurse is assessing a client with a calcium level of 6.5 mg/dL. Which symptom should the nurse expect to find?

6 / 10

A client has an INR of 4.5 while on warfarin therapy. Which action should the nurse take?

7 / 10

A client’s complete blood count (CBC) shows a hemoglobin level of 7.8 g/dL. Which clinical manifestation should the nurse anticipate?

8 / 10

The nurse is reviewing the lab results of a client with pancreatitis. Which of the following serum amylase levels is consistent with this diagnosis?

9 / 10

A client’s laboratory results show a serum sodium level of 128 mEq/L. Which of the following findings should the nurse expect?

10 / 10

A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which action should the nurse take first?

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