NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
The client is prescribed methotrexate for rheumatoid arthritis. Which instruction should the nurse include?
Correct Answer: B
Rationale: Methotrexate causes immunosuppression, increasing infection risk, so reporting signs of infection is critical. Milk does not prevent GI upset, photosensitivity is not a primary concern, and methotrexate is taken regularly, not as needed.
Question 2 of 5
The client is admitted with a diagnosis of gestational diabetes. Which dietary recommendation is most appropriate?
Correct Answer: A
Rationale: A low-carbohydrate high-protein diet helps maintain stable blood glucose levels in gestational diabetes reducing the risk of hyperglycemia. High-fat high-carbohydrate or high-calorie diets are less suitable.
Question 3 of 5
A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in assisting her in expressing her feelings. Which activity should the nurse provide the child to assist her in expressing her feelings?
Correct Answer: D
Rationale: Puppets allow expression of feelings and fears that otherwise could not be directly communicated, helping the child articulate emotions.
Question 4 of 5
Which finding is the best indication that a client with ineffective airway clearance needs suctioning?
Correct Answer: C
Rationale: Adventitious breath sounds (e.g., rhonchi, wheezing) indicate mucus obstruction, signaling the need for suctioning. Oxygen saturation, respiratory rate, and ABGs are less specific.
Question 5 of 5
The priority nursing goal when working with an autistic child is:
Correct Answer: A
Rationale: The priority nursing goal when working with an autistic child is establishing a trusting relationship. Maintaining a relationship with the family is important but having the trust of the child is a priority.
To promote involvement in school activities is inappropriate for a child who is autistic. Maintaining nutritional requirements is not the primary problem of the autistic child.