NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?
Correct Answer: D
Rationale: Oatmeal and fresh fruit provide fiber and bulk, which help prevent constipation. The other options lack sufficient fiber.
Question 2 of 5
The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:
Correct Answer: A
Rationale: Abdominal assessment follows the sequence: inspection, auscultation, palpation. Auscultation is done before palpation to avoid altering bowel sounds. Inspection identifies visible abnormalities first.
Question 3 of 5
A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?
Correct Answer: D
Rationale: During impending respiratory failure or asthmatic complications, the client is placed in the high-Fowler position to facilitate comfort and promote optimal gas exchange. Arterial blood gases are monitored in the treatment of respiratory failure during an asthma attack, but it is not an initial intervention. O2 therapy is used during an asthma attack, but it is not the initial intervention. The usual prescribed amount is a cautiously low flow rate of 1-2 L/min. Wheezing is a characteristic clinical finding during an asthma attack. If wheezing suddenly ceases, it usually indicates a complete airway obstruction and requires immediate treatment for respiratory failure or arrest.
Question 4 of 5
A client with a history of sarcoidosis is admitted with complaints of dyspnea. The nurse should give priority to:
Correct Answer: A
Rationale: Sarcoidosis can cause lung granulomas, leading to dyspnea, so monitoring respiratory status is critical to assess lung function.
Question 5 of 5
A client with chronic kidney disease is receiving epoetin alfa (Epogen). Which laboratory value indicates the medication is effective?
Correct Answer: A
Rationale: Epoetin alfa stimulates red blood cell production. A hemoglobin of 12 g/dL (
A) indicates effectiveness. Creatinine (
B), potassium (
C), and WBC (
D) are not directly affected.