NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client who recently experienced a massive stroke. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: Returning to work full time immediately after discharge may not be feasible due to the care needs of a client post-massive stroke, indicating a need for further education about caregiving demands.
Question 2 of 5
The physician has prescribed Pyridium (phenazopyridine) for a client with urinary urgency. The nurse should tell the client that:
Correct Answer: C
Rationale: Pyridium causes the urine to turn red-orange, a harmless side effect that clients should be informed about to avoid alarm.
Question 3 of 5
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:
Correct Answer: B
Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.
Question 4 of 5
The nurse is caring for a client who has just been diagnosed with ovarian cancer. The nurse is using silence as an effective therapeutic response. How is silence an effective therapeutic response?
Correct Answer: C
Rationale: Silence gives the client space to process emotions and guide the conversation, enhancing therapeutic communication.
Question 5 of 5
A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.