NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse monitors a client diagnosed with silicosis for emotional reactions related to the chronic respiratory disease. Which emotional reaction, when expressed by the client, indicates a need for immediate intervention?
Correct Answer: C
Rationale: Suicidal ideation is not a normal emotional reaction with this condition. If it is expressed, it warrants immediate intervention. Common emotional reactions to a disease such as massive pulmonary fibrosis may be the same as for chronic airflow limitation and include anxiety, ineffective coping, and depression.
Question 2 of 5
The nurse is caring for a client with a history of burns. Which of the following complications should the nurse monitor for? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Burns can cause sepsis (infection), hypovolemia (fluid loss), hyperkalemia (tissue damage), and respiratory distress (inhalation injury).
Question 3 of 5
A client diagnosed with active tuberculosis (TB) is to be admitted to a medical-surgical unit. Which action should the nurse take when planning a bed assignment?
Correct Answer: A
Rationale: According to category-specific (respiratory) isolation precautions, a client with TB requires a private room. The room needs to be well ventilated and should have at least 6 to 12 exchanges of fresh air per hour and should be ventilated to the outside if possible.
Therefore, option 1 is the only correct choice.
Question 4 of 5
To protect a client who has received tissue plasminogen activator (t-PA, or Activase) therapy, the nurse should:
Correct Answer: B
Rationale: Maintaining pressure on arterial puncture sites for 10 seconds minimizes bleeding risk, critical after t-PA due to its thrombolytic effects.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which of the following recommendations is most effective?
Correct Answer: B
Rationale: Reducing alcohol consumption lowers blood pressure by decreasing vascular resistance and fluid retention.