NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 2 of 5
Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
Correct Answer: C
Rationale: The lens focuses light rays onto the retina to produce a clear image.
Question 3 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 4 of 5
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
Correct Answer: C
Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.
Question 5 of 5
Which one of the following clients is most likely to develop acute respiratory distress syndrome?
Correct Answer: D
Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.