NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with $B$ positive blood is scheduled for a transfusion of whole blood. Which finding requires nursing intervention?
Correct Answer: B
Rationale: Transfusing Rh-negative blood to an Rh-positive client can cause incompatibility reactions, requiring intervention to ensure Rh compatibility.
Question 2 of 5
The nurse is performing discharge diet teaching to a client with a stage 1 decubitus ulcer on the coccyx. Which diet selection by this client would indicate that the client has a clear understanding of the proper diet for healing of a decubitus ulcer?
Correct Answer: C
Rationale: Healing a decubitus ulcer requires a diet high in protein, vitamins (especially C and
A), and minerals like zinc. Baked chicken (protein), broccoli (vitamin
A), wheat roll (carbohydrates), and orange (vitamin
C) support tissue repair. The other options lack sufficient protein or include high-sugar/fat items that don't aid healing.
Question 3 of 5
Which of the following is the best indicator of the diagnosis of HIV?
Correct Answer: C
Rationale: The Western Blot is the most specific test for confirming HIV diagnosis after a positive ELISA.
Question 4 of 5
The nurse is caring for a client with documented severe allergies to latex. Which item on the client's meal tray should the nurse remove?
Correct Answer: A
Rationale: Bananas can cause a cross-reaction in latex-allergic clients due to shared proteins (latex-fruit syndrome). Other items are safe.
Question 5 of 5
The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?
Correct Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid out of the brain tissue.