NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: Shellfish are high in purines, which can increase uric acid levels and trigger gout attacks.
Question 2 of 5
A client is admitted to the inpatient unit and is exhibiting pressured speech, a labile affect, euphoria, and hyperactivity. The client states, 'I am the Savior of the city.' The family states that the client is a public client in the United States. The nurse should further assess the client for which of the following?
Correct Answer: B
Rationale: Pressured speech, labile affect, euphoria, hyperactivity, and grandiose delusions (e.g., 'Savior of the city') are hallmark symptoms of the manic phase of bipolar disorder.
Question 3 of 5
A multiparous client 48 hours postpartum who is breast-feeding tells the nurse, 'I'm having a lot of cramping. This didn't happen when I nursed my first baby,' which of the following would be the nurse's best response?
Correct Answer: D
Rationale: Breast-feeding stimulates oxytocin release, causing uterine contractions and cramping, which is normal and often more noticeable in multiparous women.
Question 4 of 5
Under the policy for valuables, the nurse documents the description on an envelope with the client, the client and nurse sign the envelope, and the valuables envelope is locked in the safe. The other options increase the risk of loss or damage to the client's valuables.
Correct Answer: A
Rationale: This procedure ensures the security of the client's valuables, reducing the risk of loss or theft.
Question 5 of 5
When assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?
Correct Answer: C
Rationale: The oral mucous membranes are the most reliable site for assessing cyanosis in dark-skinned clients, as they show color changes more clearly.