NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with AIDS has impaired nutrition because of diarrhea. Which diet selection by the client would indicate a need for further teaching of foods that can worsen the diarrhea?
Correct Answer: A
Rationale: Raw vegetables in a tossed salad can exacerbate diarrhea in AIDS patients. Baked chicken, broiled fish, and steamed rice are easier to digest and less likely to worsen diarrhea.
Question 2 of 5
Which one of the following situations represents a maturational crisis for the family?
Correct Answer: A
Rationale: A 4-year-old entering nursery school is a maturational crisis, as it involves a normal developmental transition that can stress family dynamics.
Question 3 of 5
A client in ICU is being closely monitored after a fall. The nurse notices a slight increase in intracranial pressure (ICP). The nurse should intervene by
Correct Answer: C
Rationale: Turning and repositioning the patient helps reduce ICP by promoting venous drainage. Elevating the head to 30-45 degrees (not 90) is appropriate; excessive suctioning or oxygen changes may not address ICP directly.
Question 4 of 5
Four clients are to receive medication. Which client should receive medication first?
Correct Answer: C
Rationale: A stat dose of Lasix for labored respirations indicates an urgent need to address potential pulmonary edema, prioritizing this client.
Question 5 of 5
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
Correct Answer: D
Rationale: Ethambutol can cause optic neuritis, leading to changes in color vision, a serious side effect requiring immediate medical attention.