NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A male client has a history of diverticulosis. He has questions about the foods that he should eat. His nurse gives him the following information:
Correct Answer: A
Rationale: Clients with diverticulosis should maintain a high-fiber diet and prevent constipation with bran or bulk laxatives. Low-residue diets lead to constipation and are contraindicated in clients with diverticulosis. Clients with diverticulosis should drink at least eight glasses of water each day to prevent constipation. Clients with diverticulosis should modify their diet to include high-fiber foods and bulk laxatives.
Question 2 of 5
The nurse is assessing a client who had a colon resection two days ago. The client states, "I feel like my stitches have burst loose." Upon further assessment, dehiscence of the wound is noted. Which action should the nurse take?
Correct Answer: B
Rationale: Applying a sterile, saline-moistened dressing protects the dehisced wound and prevents infection. Prone positioning (
A) is inappropriate, atropine (
C) doesn’t address dehiscence, and an ACE bandage (
D) may worsen the condition.
Question 3 of 5
The client presents to the emergency room with a hyphema. Which action by the nurse would be appropriate?
Correct Answer: A
Rationale: A hyphema (blood in the anterior chamber of the eye) requires elevating the head to reduce intraocular pressure and applying ice to decrease swelling. The other actions are irrelevant to hyphema management.
Question 4 of 5
An elective saline abortion has been performed on a 3-week primigravida. Following the procedure, the nurse should be alert for which early side effect?
Correct Answer: B
Rationale: Saline absorption into the bloodstream increases serum sodium, leading to thirst as an early side effect.
Question 5 of 5
The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT,the nurse should:
Correct Answer: D
Rationale: A blood pressure cuff is applied to one limb during ECT to monitor for seizure activity (visible in the uncuffed limb).
Tourniquets anticonvulsants and shellfish allergies are not relevant to ECT preparation.