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
The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?
Correct Answer: D
Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.
Question 3 of 5
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.
Question 4 of 5
The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?
Correct Answer: B
Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.
Question 5 of 5
The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?
Correct Answer: D
Rationale: Wearing sunscreen is a key preventive measure for skin cancer, reducing UV exposure, and should be emphasized in teaching.