NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client's renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?
Correct Answer: D
Rationale: A low-calcium and phosphorus diet will reduce further calculi formation.
Question 2 of 5
The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, 'My life is so bad no one can do anything to help me.' The most helpful initial response by the nurse would be:
Correct Answer: C
Rationale: This response does not acknowledge the client's feelings and may increase his feelings of guilt. This response denotes false reassurance. This response acknowledges the client's feelings and invites a response. This response changes the subject and does not allow the client to talk about his feelings.
Question 3 of 5
The nurse is caring for a client with a diagnosis of hyperemesis gravidarum. Which intervention is most appropriate?
Correct Answer: D
Rationale: Hyperemesis gravidarum requires IV fluids for hydration small frequent meals to reduce nausea and antiemetics to control vomiting. All interventions are appropriate to manage symptoms and prevent complications.
Question 4 of 5
A client with a history of a burn injury is receiving Silvadene (silver sulfadiazine). The nurse should monitor the client for:
Correct Answer: A
Rationale: Silver sulfadiazine can cause neutropenia, requiring monitoring of white blood cell counts. Hyperkalemia, hypoglycemia, and hypertension are not typical side effects.
Question 5 of 5
The nurse is caring for a client with a history of a ventricular septal defect. Which finding should be reported to the doctor immediately?
Correct Answer: D
Rationale: Cyanosis in a ventricular septal defect indicates significant shunting and hypoxemia, a critical finding requiring immediate reporting. Murmurs, tachycardia, and fatigue are expected but less urgent.