NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client suspected of having a rib fracture. Which typical signs/symptoms should the nurse observe for?
Correct Answer: D
Rationale: The client with fractured ribs typically has pain over the fracture site with inspiration and to palpation. Respirations are shallow, and guarding of the area is often noted. Bruising may or may not be present.
Therefore, the remaining options are incorrect.
Question 2 of 5
A 3-month-old is admitted to the pediatric unit with moderate dehydration. The nurse should assess the client for:
Correct Answer: B, C
Rationale: Moderate dehydration in an infant is indicated by a rapid, thready pulse and decreased skin elasticity due to fluid loss.
Question 3 of 5
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
Correct Answer: D
Rationale: The client's symptoms of feeling 'lousy' when stopping the drug indicate physical dependence, as the body has adapted to the presence of amphetamines, leading to withdrawal symptoms upon cessation.
Question 4 of 5
A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?
Correct Answer: A
Rationale: Taking NSAIDs with food and fluids reduces gastrointestinal irritation, a common side effect. Gradual dose reduction, mouth rinsing, or avoiding driving are not standard instructions for NSAIDs.
Question 5 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about dietary modifications. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms, and should be avoided.