NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is discharging a client with asthma who has a prescription for zafirlukast (Accolate). Which comment by the client would indicate a need for further teaching?
Correct Answer: A
Rationale: Zafirlukast should be taken on an empty stomach for better absorption. The other statements are correct: flulike symptoms and liver monitoring are relevant, and zafirlukast is not a rescue medication.
Question 2 of 5
A client on the post-op floor underwent surgery 4 days ago. The night nurse reports to the nurse coming on to dayshift that the client complained all night of pain, even though she received every dose of prescribed pain medication. The client currently rates the pain at a 10 out of 10. The day shift nurse should first
Correct Answer: D
Rationale: Persistent severe pain post-op suggests a complication (e.g., infection, hemorrhage). A full assessment is the priority to identify the cause before adjusting treatment.
Question 3 of 5
A client with vaginal cancer is being treated with a radioactive vaginal implant. The client's husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
Correct Answer: D
Rationale: Radiation safety protocols limit visitation to short periods (e.g., 30 minutes) to minimize exposure to radioactive implants.
Question 4 of 5
A nurse is at a local swimming pool, and a man collapses with a cardiac arrest after exiting the pool. The man is still wet when the nurse begins cardiopulmonary resuscitation (CPR), and another person brings the automated external defibrillator (AED). Which of the following should the nurse do next?
Correct Answer: B
Rationale: Wiping the chest dry (
B) ensures AED pads adhere properly and deliver an effective shock. Applying pads on a wet chest (
A) risks ineffective defibrillation, continuing CPR (
C) delays defibrillation, and alcohol wipes (
D) are inappropriate.
Question 5 of 5
An elderly preoperative client seems very anxious but denies concerns when the nurse asks; however, the client's son confides that the client is very superstitious and believes it is bad luck that he is in room 113. Which of the following actions is the best response?
Correct Answer: B
Rationale: Reassigning the client to a different room (
B) addresses the client's anxiety by respecting his superstitious beliefs, promoting comfort. Reassurance (
A), medication (
C), or family presence (
D) may not fully alleviate the specific concern.