NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client is admitted to the medical-surgical unit with a report of severe hematemesis. The nurse should give priority to:
Correct Answer: C
Rationale: Severe hematemesis indicates significant bleeding, requiring immediate IV access with a large-bore needle for fluid and blood resuscitation to stabilize the client.
Question 2 of 5
Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?
Correct Answer: D
Rationale: Rice cereal is gluten-free, suitable for celiac disease, unlike wheat-based foods.
Question 3 of 5
A client is being discharged on Coumadin after hospitalization for a deep vein thrombosis. The nurse recognizes that which food would be restricted while the client is on this medication?
Correct Answer: A
Rationale: Lettuce, especially leafy greens, is high in vitamin K, which can antagonize Coumadin's anticoagulant effect, requiring dietary restriction or monitoring.
Question 4 of 5
An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
Correct Answer: A
Rationale: check vital signs every 15 minutes until stable, assess for respiratory difficulty (stridor and dyspnea resulting from laryngeal edema or laryngospasm)
Question 5 of 5
The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?
Correct Answer: B
Rationale: PKU screening is typically performed at 2-3 days of age to ensure accurate results, as earlier testing may yield false negatives.