NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with heart failure has been prescribed the DASH diet (dietary approaches to stop hypertension) and must limit sodium intake to 2300 mg per day. Which of the following statements by the client indicates a need for further education?
Correct Answer: A
Rationale: Stopping added salt (
A) is insufficient; the DASH diet requires limiting processed foods and monitoring total sodium. Dairy (
B), vegetables/fruits (
C), and meat limits (
D) are correct.
Question 2 of 5
Cardiac muscles follow a certain order of electrical conduction in order for the heart to contract. What is the correct sequence of electrical impulse?
Order the Items
Source Container
Correct Answer: D,B,A,C,E
Rationale: Cardiac conduction: sinoatrial node (
D), atrioventricular node (
B), bundle of His (
A), bundle branches (
C), Purkinje fibers (E).
Question 3 of 5
The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.
Order the Items
Source Container
Correct Answer: D,B,A,C
Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.
Question 4 of 5
A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?
Correct Answer: C
Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action
Question 5 of 5
A client seen in the doctor's office for complaints of nausea and vomiting is sent home with directions to follow a clear-liquid diet for the next 24-48 hours. Which of the following is not permitted on a clear-liquid diet?
Correct Answer: C
Rationale: Ice cream is not a clear liquid, as it is opaque and contains dairy.