NCLEX-RN
NCLEX RN Test Bank with Rationales Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend to prevent odor and gas?
Correct Answer: A
Rationale: Yogurt contains probiotics that can reduce gas and odor in colostomy output, unlike broccoli, eggs, or beans, which may increase gas.
Question 2 of 5
When preparing a 3-year-old child for blood specimens to be drawn for laboratory testing, the nurse should?
Correct Answer: C
Rationale: Distraction techniques are most effective for a 3-year-old during painful procedures like blood draws, as they have limited understanding of explanations. Simple preparation may help, but distraction is key.
Question 3 of 5
A client is admitted with numbness and tingling of the feet and toes after having an upper respiratory infection and flu for the past 5 days. Within 1 hour of admission, the client states that his legs are numb all the way up to his hips. The nurse should do which of the following next? Select all that apply.
Correct Answer: B,C,D
Rationale: Rapidly progressing numbness suggests a neurological condition like Guillain-Barré syndrome, requiring immediate provider notification (
B), monitoring for respiratory involvement with resuscitation equipment (
C), and ongoing assessment of paresthesia (
D). Family visits and ankle pumps are not priorities.
Question 4 of 5
A client with a history of gout is admitted with joint swelling. The nurse should include which of the following in the plan of care?
Correct Answer: C
Rationale: Indomethacin reduces inflammation and pain in acute gout attacks.
Question 5 of 5
For the client with a substance abuse problem, which of the following would be most helpful to aid the client in dealing with feelings and concerns related to alcohol and drugs?
Correct Answer: B
Rationale: Group sessions provide peer support and shared experiences, highly effective for addressing feelings related to substance abuse.