NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
Which of the following is an example of beliefs of traditional Chinese medicine found in a small amount of the treatment?
Correct Answer: B
Rationale: Traditional Chinese medicine attributes illness to an imbalance of yin and yang.
Question 2 of 5
Older adults with known cardiovascular disease must balance which of the following measures for optimum health?
Correct Answer: A
Rationale: Diet, exercise, and medication are critical for managing cardiovascular disease, as they address risk factors like cholesterol, physical fitness, and blood pressure control, directly impacting heart health.
Question 3 of 5
A 1-year-old is brought to the clinic with failure to thrive. Which assessment should the nurse prioritize?
Correct Answer: A
Rationale: Dietary intake history is critical in failure to thrive to identify inadequate caloric intake or feeding issues, guiding intervention.
Question 4 of 5
A client has a reddened area over a bony prominence. The nurse finds a nursing assistant massaging this area. The nurse should:
Correct Answer: D
Rationale: Massage over a reddened area on a bony prominence is contraindicated as it can further damage tissue and reduce blood flow, increasing the risk of pressure ulcers. The nurse should instruct the assistant to stop massaging the area to prevent harm.
Question 5 of 5
The nurse has administered a dose of diazepam to the client. Which most important action should the nurse take before leaving the client's room?
Correct Answer: D
Rationale: Diazepam is a benzodiazepine and has sedative/hypnotic effects with anticonvulsant and skeletal muscle relaxant properties. The nurse should institute safety measures before leaving the client's room to ensure that the client does not injure self. The most frequent side effects of this medication are dizziness, drowsiness, and lethargy. For this reason, the nurse raises a side rail on the bed and instructs the client not to get out of bed without assistance. Note that agency policy regarding the use of side rails is always followed. Although the remaining options may be helpful measures that provide a comfortable, restful environment, instructing the client to ask for assistance when getting out of bed provides for the client's safety needs.