NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?
Correct Answer: C
Rationale: Dairy products are rich in calcium, essential for bone health in osteoporosis. Citrus fruits provide vitamin C, red meat offers iron, and whole grains supply fiber, but they are less critical for bone density.
Question 2 of 5
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
Correct Answer: B
Rationale: A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. Streptokinase activates plasminogen, dissolving fibrin deposits.
To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.
Question 3 of 5
The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: A high-iron diet includes iron-rich foods like veal and spinach. Sliced veal, spinach salad, and whole-wheat roll (
B) are optimal. Other options lack significant iron sources.
Question 4 of 5
A nurse is triaging in the emergency room when a client enters complaining of muscle cramps and a feeling of exhaustion after a running competition. Which of the following would the nurse suspect?
Correct Answer: B
Rationale: Muscle cramps and exhaustion after intense exercise suggest hyponatremia due to excessive sweating and water intake, diluting sodium levels. Hypernatremia (
A) causes neurological symptoms, hyperkalemia (
C) causes arrhythmias, and hypokalemia (
D) causes weakness but is less likely without diuretic use.
Question 5 of 5
A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:
Correct Answer: B
Rationale: There are no indications that the client's thoughts reflect special powers or talents characteristic of grandiosity. The client's thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C,
D) The client is not demonstrating a sensory experience.