NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
Correct Answer: B
Rationale: A facial stroke may impair chewing and swallowing. Soft foods like split pea soup mashed potatoes and pudding are easier to swallow and safer for a client with dysphagia. The other options include harder or chewier foods that pose a risk.
Question 2 of 5
A 28-year-old woman was admitted to the hospital for a thyroidectomy. Postoperatively she is taken to the postanesthesia care unit for several hours. In preparing for the client's return to her room, which nursing measure best demonstrates the nurse's thorough understanding of possible postthyroidectomy complications?
Correct Answer: C
Rationale: Dressing changes are done as necessary for bleeding. However, frequently, post-thyroidectomy bleeding may not be visible on the dressing, but blood may drain down the back of the neck by gravity. Narcotics are administered for acute pain as necessary. They are not necessarily given on return of the client to her room. The most serious postthyroidectomy complication is ineffective airway and breathing pattern related to tracheal compression and edema. A tracheostomy set, O2, and suction should be available at bedside for at least the first 24 hours postoperatively. Impaired verbal communication may occur due to laryngeal edema or nerve damage, but most commonly, it occurs due to endotracheal intubation. The client is usually able to communicate but is hoarse.
Question 3 of 5
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety in PTSD, aiding recovery. Discussing the attack or controlling emotions may retraumatize, and hypnotics are secondary.
Question 4 of 5
A client with SIADH is admitted with severe hyponatremia. Which type of intravenous solution would the nurse expect to be ordered?
Correct Answer: B
Rationale: SIADH causes water retention and severe hyponatremia. Hypertonic 3% sodium chloride is used to correct low sodium levels by drawing water out of cells. Isotonic or hypotonic fluids may worsen hyponatremia and colloids are not indicated.
Question 5 of 5
A client with a history of a hiatal hernia is being taught about lifestyle modifications. The nurse should encourage the client to:
Correct Answer: A
Rationale: Maintaining a healthy weight reduces abdominal pressure, alleviating hiatal hernia symptoms. Large meals, flat sleeping, and caffeine worsen reflux.