NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of phenylketonuria is seen at the local family planning clinic. After completing the client's intake history, the nurse provides literature for a healthy pregnancy. Which statement indicates that the client needs further teaching?
Correct Answer: A
Rationale: Nutrasweet (aspartame) contains phenylalanine, which must be avoided in phenylketonuria, indicating a need for further teaching.
Question 2 of 5
The nurse is caring for a client who is having surgery the next morning. The client says, 'I'm really scared about surgery. I've never been put to sleep before and I'm afraid I might not wake up.' Which response by the nurse is the most therapeutic?
Correct Answer: C
Rationale: Acknowledging fear as normal and inviting the client to express feelings is therapeutic, fostering trust and emotional support.
Question 3 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.
Question 4 of 5
What is the responsibility of the nurse in obtaining an informed consent for surgery?
Correct Answer: D
Rationale: The nurse's role is to witness the client's signature and ensure the consent form is completed, not to explain the procedure.
Question 5 of 5
The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:
Correct Answer: C
Rationale: The earlobe is a suitable site for pulse oximetry in peripheral vascular disease, as it is less affected by impaired peripheral circulation.