NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?
Correct Answer: B
Rationale: Visual impairment may hinder diabetes self-management, necessitating follow-up.
Question 2 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 3 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.
Question 4 of 5
The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.
Correct Answer: B,D,E
Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).
Question 5 of 5
A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?
Correct Answer: A
Rationale: Expecting the husband to manage finances (
A) indicates denial of his impaired judgment due to dementia, suggesting non-acceptance of a permanent role change. Other statements (B, C,
D) reflect frustration or realistic expectations.