NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
A nurse has been working with a battered woman who is being discharged and returning home with her husband. The nurse says, 'All this work with her has been useless. She's just going back to him as usual.' Which of the following statements by a nursing colleague would be most helpful to this nurse?
Correct Answer: A
Rationale: The colleague needs to provide the nurse with information about spouse abuse. Giving information about reasons for staying is useful for decreasing the nurse's frustration. Although expressing empathy is appropriate, it does not help the nurse understand the client's needs and behaviors. Telling the nurse that there will be another chance is not helpful and fails to educate the other nurse about the dynamics of abuse. Although dependence is a problem, women who are abused can overcome this and leave if they have support, not criticism.
Question 2 of 5
A client with diabetes is explaining to the nurse how she will care for her feet at home. Which statement indicates that the client understands proper foot care?
Correct Answer: D
Rationale: Thorough drying prevents moisture-related infections, critical for diabetic foot care to avoid complications like ulcers.
Question 3 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding supports this diagnosis?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid accumulation in the alveoli, a key sign of pulmonary edema requiring urgent intervention.
Question 4 of 5
The nurse is administering epoetin alfa to a client diagnosed with chronic kidney disease (CKD). For which adverse effect of this therapy should the nurse monitor the client?
Correct Answer: B
Rationale: The client taking epoetin alfa is at risk of hypertension and seizure activity as the most serious adverse effects of therapy. This medication is used to treat anemia. The medication does not cause iron intoxication. Bleeding tendencies is not an adverse effect of this medication.
Question 5 of 5
A client with a history of heart failure is admitted with fatigue. The nurse should monitor the client for which of the following laboratory abnormalities?
Correct Answer: A, D
Rationale: Elevated BNP indicates heart failure severity, and hyponatremia is common due to fluid overload.