NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A client with a fracture is placed in skeletal traction. What is the nurse's priority assessment?
Correct Answer: A
Rationale: Monitoring skin integrity at pin sites is critical to detect infection or tissue breakdown in skeletal traction.
Question 2 of 5
The nurse is reviewing the laboratory results of a client with hypothyroidism. An expected finding is:
Correct Answer: A
Rationale: Hypothyroidism is characterized by decreased thyroxine (T4) and increased TSH as the pituitary attempts to stimulate the thyroid. Other options are inconsistent with hypothyroidism.
Question 3 of 5
The nurse is caring for a young adult client diagnosed with sarcoidosis. The client is angry and tells the nurse that there is no point in learning disease management because there is no possibility of ever being cured. Based on the client's statement, the nurse determines that the client is experiencing which potential problem?
Correct Answer: B
Rationale: The client with powerlessness expresses feelings of having no control over a situation or outcome. Apprehension is fearful or uneasy anticipation of something. Intellectualization is excessive reasoning to avoid feeling. Ineffective thought process involves interruption in normal thought.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which of the following recommendations is most effective?
Correct Answer: B
Rationale: Reducing alcohol consumption lowers blood pressure by decreasing vascular resistance and fluid retention.
Question 5 of 5
The nurse is caring for a client with a history of burns. Which of the following complications should the nurse monitor for? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Burns can cause sepsis (infection), hypovolemia (fluid loss), hyperkalemia (tissue damage), and respiratory distress (inhalation injury).