NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client has had a left mastectomy with axillary lymph node dissection. The nurse determines that the client understands postoperative restrictions and arm care when the client states the intention to engage in which activity?
Correct Answer: A
Rationale: The client is at risk for edema and infection as a result of lymph node dissection. The client should use a variety of techniques to avoid trauma to the affected arm. Examples include using gloves when working in the garden, an electric razor to shave under the arm, and pot holders when cooking to prevent burns. The client should also avoid activities that increase edema, such as carrying heavy objects or having blood pressures taken on the affected arm.
Question 2 of 5
A nurse who organizes and establishes a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving in which capacity and role of the registered nurse?
Correct Answer: A
Rationale: By organizing a PAC to address healthcare accessibility and affordability, the nurse is acting as a client advocate . This role involves promoting the health and well-being of clients and communities by addressing systemic issues, such as access to care, through community and political engagement.
Question 3 of 5
A client with a history of rheumatoid arthritis is admitted with a flare-up. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: NSAIDs reduce inflammation and pain during rheumatoid arthritis flare-ups.
Question 4 of 5
Your client has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were 600 mLs remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
Correct Answer: A
Rationale:
To calculate: 1,200 mL ÷ 8 hours = 150 mL/hr. From 8 AM to 12 noon (4 hours), 4 × 150 = 600 mL infused. Starting with 600 mL, 600 - 600 = 0 mL remaining.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of multiple sclerosis about lifestyle modifications. Which of the following recommendations is most effective?
Correct Answer: B
Rationale: Maintaining a balanced diet supports overall health and symptom management in multiple sclerosis.