NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:
Correct Answer: B
Rationale: Canned and frozen foods have a high sodium content. Labels of all canned foods should be read to determine if sodium is used in any form.
Question 2 of 5
The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: A high-iron diet includes iron-rich foods like veal and spinach. Sliced veal, spinach salad, and whole-wheat roll (
B) are optimal. Other options lack significant iron sources.
Question 3 of 5
The client is prescribed furosemide (Lasix) for heart failure. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, causes potassium loss, risking hypokalemia, which can lead to arrhythmias. Calcium, hemoglobin, and BUN are less directly affected.
Question 4 of 5
A client with a history of lung cancer is admitted with complaints of hemoptysis. The nurse should give priority to:
Correct Answer: A
Rationale: Hemoptysis in lung cancer indicates potential airway compromise, so monitoring respiratory status is the priority.
Question 5 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.