NCLEX-RN
NCLEX RN Questions with Detailed Explanations Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following symptoms is most likely to be present?
Correct Answer: C
Rationale: Tremors are a common symptom of hyperthyroidism due to increased metabolic rate and nervous system stimulation.
Question 2 of 5
Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
Correct Answer: A
Rationale: Monitoring cardiac telemetry is within the scope of practice for unlicensed staff who are specifically trained and certified by the employing agency. Inserting a urinary catheter typically requires a higher level of licensure (e.g., LPN or RN), and LPNs are not typically authorized to serve as circulating nurses or first assistants in the perioperative area, as these roles require advanced training or RN licensure.
Question 3 of 5
A 30-year-old client is hospitalized with a fractured femur, which is being treated with skeletal traction. He states that he has not had a bowel movement for 2 days. Which of the following interventions is most appropriate at this time?
Correct Answer: C
Rationale: Increasing fluid intake promotes bowel motility, addressing constipation in a client immobilized by traction.
Question 4 of 5
A client with a history of depression is prescribed sertraline (Zoloft). The nurse should teach the client to report which side effect?
Correct Answer: C
Rationale: Suicidal thoughts are a serious side effect of SSRIs like sertraline, especially in the early weeks, requiring immediate reporting to ensure client safety.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of asthma about self-management. Which of the following instructions should be included?
Correct Answer: A
Rationale: Daily peak flow meter use monitors lung function and guides asthma management.