NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a diagnosis of diverticulitis is prescribed a high-fiber diet. Which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: Broccoli is high in fiber, supporting bowel regularity in diverticulitis, unlike low-fiber foods like white rice or bread.
Question 2 of 5
Which prescribed procedure should the nurse withhold until a comatose client is properly intubated?
Correct Answer: A
Rationale: Intubation should always precede gastric feeding to prevent pulmonary aspiration. The remaining options identify procedures that can be initiated before intubation of the client.
Question 3 of 5
A client who had transurethral resection of the prostate (TURP) 2 days earlier is complaining of lower abdominal pain. The nurse should:
Correct Answer: D
Rationale: Lower abdominal pain post-TURP may indicate catheter obstruction, so assessing patency is the priority.
Question 4 of 5
You are caring for an infant who is just about 12 months old. Which assessment data is normal for the infant at this age?
Correct Answer: B
Rationale: By 12 months, a healthy infant typically triples their birth weight, making option B correct. Doubling birth weight usually occurs by 6 months. Option C (60 mL/kg) is not a standard measure for assessing normal infant development, and option D (¼ inch growth in a month) is not necessarily indicative of normal growth without further context.
Question 5 of 5
Intravenous 5% albumin is prescribed for a client with burns of the anterior chest and both legs. The nurse contacts the primary health care provider before administering the human albumin if which are noted in the client's record? Select all that apply.
Correct Answer: A,D
Rationale: Five percent albumin is classified as a blood derivative and is contraindicated in severe anemia, cardiac failure, history of allergic reaction, renal insufficiency, and when no albumin deficiency is present. It is used with caution in clients with low cardiac reserve, pulmonary disease, or hepatic or renal failure.