NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A client has just been admitted with acute delirium of unknown etiology. The client's daughter states that she is worried about her mom because she has never acted this way before. The nurse's best response is:
Correct Answer: A
Rationale: Discussing specific changes encourages the daughter to provide details, aiding in identifying the delirium's cause and tailoring care.
Question 2 of 5
A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. The nurse monitors the client for relief of which symptom?
Correct Answer: B
Rationale: Calcium carbonate is used as an antacid for the relief of heartburn and indigestion. It can also be used as a calcium supplement or to bind phosphorus in the gastrointestinal tract in clients with renal failure. The remaining options are unrelated to this medication.
Question 3 of 5
A client with a history of chronic heart failure is prescribed digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of toxicity? Select all that apply.
Correct Answer: A, B, D
Rationale: Digoxin toxicity presents with nausea, visual disturbances (e.g., yellow vision), and fatigue. Hypokalemia increases toxicity risk but is not a symptom.
Question 4 of 5
A 10-year-old child is admitted with a brain tumor. Which assessment made by the nurse is most critical to report to the child's physician?
Correct Answer: B
Rationale: Difficulty recalling the day of the week suggests neurological impairment, which is critical to report in a child with a brain tumor, as it may indicate tumor progression or increased intracranial pressure.
Question 5 of 5
The nurse assesses the assigned clients for the shift. Of the following assigned clients, which client is at greatest risk for falling?
Correct Answer: B
Rationale: Syncope increases fall risk due to sudden loss of consciousness, particularly in an elderly client with potential comorbidities.