NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
Which action by the home health nurse indicates a knowledge of the needs of an elderly client?
Correct Answer: D
Rationale: Fall prevention is a critical need for elderly clients due to risks of injury from reduced mobility or balance. Hospice teaching is premature, high-pitched speech may not aid hearing, and fluid restriction can cause dehydration.
Question 2 of 5
A client with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) has been prescribed riluzole (Rilutek). Which does the nurse include when teaching the client about this drug?
Correct Answer: A, C, D, E
Rationale: Riluzole teaching includes avoiding alcohol (
A), reporting fever (
C), consistent timing (
D), and regular lab monitoring (E). Taking with food (
B) is not required.
Question 3 of 5
One of the most reliable assessment tools for adequacy of fluid resuscitation in burned children is:
Correct Answer: B
Rationale: Blood pressure can remain normotensive in a state of hypovolemia. Capillary refill, alterations in sensorium, and urine output are the most reliable indicators for assessing hydration. Skin turgor is not a reliable indicator for assessing hydration in a burn client. Fluid intake does not indicate adequacy of fluid resuscitation in a burn client.
Question 4 of 5
The primary cause of anemia in a client with chronic renal failure is:
Correct Answer: D
Rationale: Chronic renal failure reduces erythropoietin production, impairing red blood cell production and causing anemia. Iron absorption, RBC destruction, and intrinsic factor are secondary or unrelated.
Question 5 of 5
Which of the following interventions will be useful for the patient with Alzheimer's dementia who exhibits prosopagnosia?
Correct Answer: B
Rationale: Prosopagnosia is the inability to recognize faces. Labeled pictures of family and friends can help the patient identify familiar people improving social interaction and reducing confusion. The other options do not directly address face recognition.