NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: High-fiber foods may cause blockages in a new colostomy. The client should start with a low-residue diet and gradually introduce fiber, indicating a need for further teaching.
Question 2 of 5
The nurse is caring for a client with a ventricular shunt for hydrocephalus. Which finding requires immediate reporting?
Correct Answer: A
Rationale: Clear drainage from a shunt incision may indicate cerebrospinal fluid leakage, a serious complication requiring immediate reporting.
Question 3 of 5
A 9-year-old child is newly diagnosed with type 1 diabetes mellitus. The nurse is planning for home care with the child and the family and determines that which is an age-appropriate activity for health maintenance?
Correct Answer: B
Rationale: School-age children have the cognitive and motor skills to draw up and administer insulin with adult supervision. Developmentally, they do not yet have the maturity to make independent decisions such as about sliding-scale coverage without adult validation. Options requiring adult to manage insulin administration and glucose monitoring suppress the maximum level of independence appropriate to the level of this child.
Question 4 of 5
A client with a diagnosis of chronic heart failure is prescribed digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of toxicity?
Correct Answer: B
Rationale: Yellow vision is a classic sign of digoxin toxicity, indicating the need for immediate evaluation.
Question 5 of 5
The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma. Which of the following instructions should be included in the teaching?
Correct Answer: A
Rationale: Rinsing the mouth after using a steroid inhaler prevents oral thrush, a common side effect. Quick inhalation, nasal exhalation, or coughing before use are not standard techniques.