NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
An Hispanic mother who does not speak English and is very upset brings her child to the clinic with bleeding from the mouth. Which of the following is the most appropriate action by the nurse who does not speak Spanish?
Correct Answer: A
Rationale: Calling an interpreter ensures accurate communication, addressing the mother's distress and obtaining a clear history.
Question 2 of 5
A client comes into the emergency department with extreme fatigue. He is malnourished and laboratory tests reveal that he is severely anemic. The nurse should specifically ask the client about his intake of food high in which of the following nutrition:
Correct Answer: B
Rationale: Severe anemia is often due to deficiencies in iron, folate, vitamin B12, or copper, which are essential for red blood cell production. Other vitamins listed are less directly related to anemia.
Question 3 of 5
The nurse is caring for a client with a tracheostomy. Which action is essential to maintain airway patency?
Correct Answer: A
Rationale: Suctioning as needed removes secretions, maintaining tracheostomy patency and preventing airway obstruction.
Question 4 of 5
A client was admitted to the hospital with a diagnosis of frequent symptomatic premature ventricular contractions (PVCs). After sitting up in a chair for a few minutes, the client reports feeling lightheaded. Which finding should the nurse anticipate on auscultation of the heartbeat?
Correct Answer: B
Rationale: The most accurate means of assessing pulse rhythm is by auscultation of the apical pulse. When a client has PVCs, the rate is irregular and if the radial pulse is taken, a true picture of what is occurring is not obtained. A very slow regular apical pulse indicates bradycardia. A very rapid regular apical pulse indicates tachycardia.
Question 5 of 5
The nurse instructs a client who is taking iron supplements that:
Correct Answer: A
Rationale: Iron supplements are best absorbed on an empty stomach to maximize efficacy.