NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A female client has just died. Her family is requesting that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:
Correct Answer: D
Rationale: It is rare that a hospital has a specific policy addressing this particular issue. If the statement is true, the nurse should show evidence of the policy to the family and suggest alternatives, such as the hospital chapel. Refusal to leave the room demonstrates a lack of understanding related to the family's need to grieve in their own manner. The nurse should leave the room and allow the family privacy in their grief. The family's wish to conduct a religious ceremony in the client's room is part of the grief process. The request is based on specific cultural and religious differences dictating social customs.
Question 2 of 5
The nurse is teaching a client with a new colostomy about dietary management. Which food should the client avoid to reduce odor?
Correct Answer: A
Rationale: Broccoli, a cruciferous vegetable, increases colostomy odor due to sulfur compounds. Rice (
B), chicken (
C), and yogurt (
D) are odor-neutral and appropriate.
Question 3 of 5
The nurse is caring for an older client hospitalized with dehydration. Which site should be used to check for skin turgor?
Correct Answer: C
Rationale: In older adults the abdomen is the most reliable site for assessing skin turgor due to age-related changes in skin elasticity on the hands and arms. The forehead is not a standard site for this assessment.
Question 4 of 5
A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?
Correct Answer: D
Rationale: Asking the client to provide an explanation for her feelings is often intimidating. This response is probing and may make the client feel used and valued only for the information she can provide. This underrates the client's feelings and belittles her concerns. It may cause the client to stop sharing feelings for fear that they will be ridiculed. The emphasis is on working with the client. It shows that there is hope for change through collaboration.
Question 5 of 5
A client with a history of osteoarthritis is admitted with complaints of joint stiffness. The nurse should expect the client to have:
Correct Answer: A
Rationale: Osteoarthritis causes joint pain worsened by activity due to cartilage degeneration, unlike rheumatoid arthritis, which involves prolonged morning stiffness.