NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
Which clients can be assigned to share a room in the emergency department during a disaster?
Correct Answer: B
Rationale: A pregnant client and a client with a fractured arm have stable non-infectious conditions suitable for sharing a room. The other pairs include clients with unstable (cyanosis abdominal wound chest pain) or infectious (MRS
A) conditions or psychiatric issues requiring isolation.
Question 2 of 5
The client is diagnosed with a tension pneumothorax. Which intervention should the nurse anticipate?
Correct Answer: C
Rationale: Tension pneumothorax, a medical emergency, requires needle decompression to relieve pressure on the lung and mediastinum, followed by chest tube insertion. Oxygen and bronchodilators are secondary.
Question 3 of 5
A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:
Correct Answer: C
Rationale: Carbonated beverages increase gastric pressure, worsening hiatal hernia symptoms. Sleeping upright, small meals, and avoiding lying down post-meals are also recommended.
Question 4 of 5
A client with a history of a heart transplant is receiving Cyclosporine (Sandimmune). The nurse should monitor the client for:
Correct Answer: A
Rationale: Cyclosporine suppresses immunity, increasing infection risk, requiring vigilant monitoring. Hypotension, hyperkalemia, and weight loss are less common.
Question 5 of 5
A client with a history of hypertension is receiving Aldactone (spironolactone). The nurse should teach the client to avoid:
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic, and consuming potassium-rich foods can lead to hyperkalemia. Calcium, fiber, and iron supplements are not contraindicated.