NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
The nurse cares for a client who is pale and frequently reports fatigue, weakness, and dizziness. Which serum laboratory test result is the nurse's priority for planning care?
Correct Answer: D
Rationale: The client's hemoglobin level and sodium level are low; however, the nurse uses the hemoglobin results to plan care because the client's clinical indicators are consistent with anemia. The client is pale because the serum hemoglobin is low; thus, the client's tissues are perfused with blood that has a low oxygen-carrying capacity. The client is weak and dizzy because the blood does not carry enough oxygen to meet tissue oxygen demands. The normal sodium level is 135 to 145 mEq/L (135 to 145 mmol/L). Although a client who is hyponatremic can also feel weak and dizzy, a hyponatremic client is unlikely to be pale. The hematocrit and the potassium levels are within normal limits.
Question 2 of 5
Which of the following statements indicates that the client with a peptic ulcer understands the dietary modifications he needs to follow at home?
Correct Answer: D
Rationale: Avoiding alcohol and caffeine is critical for peptic ulcer management, as these substances can exacerbate ulcer symptoms and delay healing.
Question 3 of 5
A client has a reddened area over a bony prominence. The nurse finds a nursing assistant massaging this area. The nurse should:
Correct Answer: D
Rationale: Massage over a reddened area on a bony prominence is contraindicated as it can further damage tissue and reduce blood flow, increasing the risk of pressure ulcers. The nurse should instruct the assistant to stop massaging the area to prevent harm.
Question 4 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an exacerbation. The nurse should administer which of the following as prescribed?
Correct Answer: A, B
Rationale: Low-flow oxygen (2 L/min) and albuterol relieve hypoxemia and bronchospasm in COPD exacerbation.
Question 5 of 5
A client is prescribed morphine sulfate for postoperative pain. Which side effect should the nurse monitor for?
Correct Answer: C
Rationale: Morphine, an opioid, can cause respiratory depression, a serious side effect requiring close monitoring to ensure client safety.