NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A 16-year-old client is in the emergency department for treatment of minor injuries from a car accident. A crisis nurse is with her because she became hysterical and was saying, 'It's my fault. My Mom is going to kill me. I don't even have a way home.' Which of the following should be the nurse's initial intervention?
Correct Answer: A
Rationale: This intervention calms the client's hysteria using physical touch and breathing techniques, helping her regain composure before addressing other concerns.
Question 2 of 5
A client with a history of hypothyroidism is prescribed levothyroxine (Synthroid). The nurse should instruct the client to:
Correct Answer: B
Rationale: Grapefruit juice can interfere with levothyroxine absorption, so it should be avoided.
Question 3 of 5
The nurse is preparing a client for a thoracentesis. How should the nurse position the client for the procedure?
Correct Answer: D
Rationale: Sitting forward with arms supported allows optimal access to the pleural space and ensures client comfort during thoracentesis.
Question 4 of 5
A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?
Correct Answer: B
Rationale: The client with hyperkalemia is at risk of developing cardiac dysrhythmias and resultant cardiac arrest. Because of this, the primary health care provider must be notified at once so that the client may receive definitive treatment. The nurse might also check the result of a serum sodium level, but this is not a priority action of the nurse. Fluid intake would not be increased because it would contribute to fluid overload and would not effectively lower the serum potassium level. Dietary teaching may be necessary at some point, but this action is not the priority.
Question 5 of 5
When determining the parents' compliance with treatment for their child's ear infection, the nurse should ask the parents if they are:
Correct Answer: D
Rationale: Holding the child upright during feeding prevents milk from entering the Eustachian tube, reducing ear infection risk.