NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A client asks the nurse why he was asked to complete an advance directive when he entered the hospital. The nurse's best response is which of the following?
Correct Answer: B
Rationale: It is a legal requirement in many regions for hospitals to offer patients the opportunity to complete an advance directive upon admission to ensure their wishes are documented.
Question 2 of 5
A client with pneumonia is receiving oxygen therapy. The nurse notes cyanosis and a respiratory rate of 32 breaths/min. What should the nurse do first?
Correct Answer: B
Rationale: Cyanosis and tachypnea indicate worsening hypoxia, requiring immediate physician notification to adjust treatment.
Question 3 of 5
A client diagnosed with multiple sclerosis is prescribed baclofen. Which assessment finding would indicate to the nurse that the client is experiencing a therapeutic response from the medication?
Correct Answer: B
Rationale: Baclofen is a skeletal muscle relaxant and acts at the spinal cord level to decrease the frequency and amplitude of muscle spasms in clients with spinal cord injuries or diseases, or multiple sclerosis. None of the other options are related to the effects of this medication.
Question 4 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 5 of 5
You are the nursing supervisor in a long term care facility. One of the major considerations that you apply into your practice is strict infection control prevention measures because you are knowledgeable about the fact that the normal aging process is associated with the deterioration of the body's normal defenses. Which theory of aging supports your belief that strict infection control prevention measures are necessary?
Correct Answer: B
Rationale: The Immunological Theory of Aging posits that the immune system weakens with age, increasing susceptibility to infections. This supports the need for strict infection control measures in a long-term care facility.