NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:
Correct Answer: A
Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.
Question 2 of 5
The nurse is caring for a client with documented severe allergies to latex. Which item on the client's meal tray should the nurse remove?
Correct Answer: A
Rationale: Bananas can cause a cross-reaction in latex-allergic clients due to shared proteins (latex-fruit syndrome). Other items are safe.
Question 3 of 5
A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?
Correct Answer: C
Rationale: D10W provides dextrose to prevent hypoglycemia, a risk when TPN (high in glucose) is abruptly stopped. Saline or other fluids don't provide necessary glucose.
Question 4 of 5
A client is hospitalized in a long-term care facility because of Alzheimer disease. The client is incontinent of urine and feces. The nurse has delegated incontinent care to unlicensed assistive personnel (UAP). How frequently should the nurse advise that the UAP check the client for dryness?
Correct Answer: A
Rationale: Checking every 2 hours (
A) ensures timely care to prevent skin breakdown in an incontinent client. Hourly checks (
B) are excessive, and checking only when restless (
C) or before meals (
D) is insufficient.
Question 5 of 5
A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
Correct Answer: D
Rationale: Severe muscle rigidity and fever suggest neuroleptic malignant syndrome (NMS), a medical emergency requiring immediate transfer to a medical unit for treatment.