NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should
Correct Answer: C
Rationale: In hospice care, respecting the client’s autonomy is key. Accepting the decision to stop eating and focusing on comfort aligns with end-of-life care principles.
Question 2 of 5
If the nurse is providing education to a male client who is HIV positive, which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: HIV education includes condoms (
A), disclosing status (
B), monitoring symptoms (
C), healthy lifestyle (
D), and support groups (E) to manage disease and prevent transmission.
Question 3 of 5
Cystic fibrosis is an exocrine disorder that affects several systems of the body. The earliest sign associated with a diagnosis of cystic fibrosis is:
Correct Answer: D
Rationale: Meconium ileus, a bowel obstruction at birth, is often the earliest sign of cystic fibrosis in newborns.
Question 4 of 5
The nurse is caring for a client who has a lithium level of 2.2 mEq/L. Based on this lab value, what would the nurse anticipate to do in order to care for this client? Select all that apply.
Correct Answer: A, B, E
Rationale: A lithium level of 2.2 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). The nurse should prepare IV fluids, notify the provider, and monitor for symptoms like confusion and slurred speech. A soft diet is unnecessary, and the next dose should be held.
Question 5 of 5
The nurse is caring for a 27-year-old client in active labor. After reviewing the fetal heart tone strip shown, the nurse should take which action first?
Correct Answer: A
Rationale: Repositioning the client is the first step to improve fetal oxygenation if the fetal heart tone strip shows distress, as it is non-invasive and may resolve the issue.