NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse assesses a client who is receiving a tube feeding. Which of the following situations would require prompt intervention from the nurse?
Correct Answer: B
Rationale: A feeding hanging for 8 hours poses an infection risk due to bacterial growth, requiring prompt intervention.
Question 2 of 5
A client prescribed albuterol sulfate by inhalation cannot cough up secretions. The nurse should teach the client which action to best help clear the bronchial secretions?
Correct Answer: D
Rationale: The client should take in increased fluids (2000 to 3000 mL/day unless contraindicated) to make secretions less viscous. This may help the client expectorate secretions. This is standard advice given to clients receiving any of the adrenergic bronchodilators, such as albuterol, unless the client has another health problem that could be worsened by increased fluid intake. Additional exercise will not effectively clear bronchial secretions. A dehumidifier will dry secretions. The client would not be advised to take additional medication.
Question 3 of 5
When developing the plan of care for a client with Alzheimer's disease, which of the following activities is least beneficial to the client?
Correct Answer: D
Rationale: Stress management is least beneficial for Alzheimer's clients, as cognitive impairment limits their ability to engage in such activities. Reminiscence, walking, and pet therapy support engagement and well-being.
Question 4 of 5
To help prevent hip flexion deformities associated with rheumatoid arthritis, the nurse should help the client assume which of the following positions in bed several times a day?
Correct Answer: A
Rationale: The prone position promotes hip extension, preventing flexion deformities common in rheumatoid arthritis.
Question 5 of 5
Which prescribed procedure should the nurse withhold until a comatose client is properly intubated?
Correct Answer: A
Rationale: Intubation should always precede gastric feeding to prevent pulmonary aspiration. The remaining options identify procedures that can be initiated before intubation of the client.