NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels
Question 2 of 5
Which client can best be assigned to the newly licensed nurse?
Correct Answer: D
Rationale: The client with diverticulitis is typically stable and requires less complex care compared to clients receiving chemotherapy, post-coronary bypass, or post-TURP, which involve specialized monitoring and interventions. Assigning this client to a newly licensed nurse ensures manageable care responsibilities.
Question 3 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 4 of 5
The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:
Correct Answer: D
Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.
Question 5 of 5
The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:
Correct Answer: C
Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.