NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
The nurse observes that a client has difficulty chewing and swallowing her food. A nursing response designed to reduce this problem would include:
Correct Answer: C
Rationale: A mechanical soft diet is easier to chew and swallow due to its consistent texture, making it appropriate before trying a puréed diet.
Question 2 of 5
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
Correct Answer: D
Rationale: Raw fruits and vegetables can harbor pathogens, worsening diarrhea in AIDS due to immune compromise. Calcium foods, canned vegetables, and processed meats are safer.
Question 3 of 5
A client with a history of renal failure is admitted with complaints of shortness of breath. The nurse should expect the client to have:
Correct Answer: A
Rationale: Renal failure impairs acid excretion, leading to metabolic acidosis, which can cause compensatory hyperventilation and shortness of breath.
Question 4 of 5
The client is admitted with a diagnosis of acute leukemia. Which nursing intervention is the priority?
Correct Answer: B
Rationale: Acute leukemia causes immunosuppression, making infection prevention (e.g., hand hygiene, protective isolation) the priority to avoid life-threatening complications. Pain, glucose, and diet are secondary.
Question 5 of 5
A five-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
Correct Answer: D
Rationale: Trendelenburg sign, where the pelvis tilts downward on the unaffected side when standing on the affected leg, is associated with congenital hip dysplasia due to weak hip abductors. The other signs are unrelated.