NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?
Correct Answer: B
Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.
Question 2 of 5
A client is to wear a Holter monitor for continuous cardiac monitoring for 48 hours. The nurse should advise the client to avoid which of the following activities during the monitoring period? Select all that apply.
Correct Answer: C,D
Rationale: Holter monitors can be affected by electromagnetic interference from wireless devices like iPads (
C), so these should be avoided. Showering and bathing (
D) can damage the monitor or electrodes. Watching TV (
A), using a remote control (
B), drinking caffeine (E), and exercising (F) typically do not interfere with monitoring, though exercise should be noted in the activity log.
Question 3 of 5
A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?
Correct Answer: B
Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.
Question 4 of 5
A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?
Correct Answer: A
Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.
Question 5 of 5
Using Naegele's rule for estimating the due date for a pregnancy, if a client's last menstrual cycle started on September 6 and ended September 10, when is the client's approximate due date?
Correct Answer: C
Rationale: Naegele's rule: September 6 + 7 days = September 13, + 9 months = June 13, 2014. Closest is June 10 (
C), adjusting for approximation.