NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
Which of the following should the nurse do first for a toddler just admitted with croup?
Correct Answer: B
Rationale: Assessing respiratory status is the priority for a toddler with croup, as airway obstruction is a primary concern. Vital signs, fluids, and tracheostomy preparation are secondary.
Question 2 of 5
A college student is asking the nurse about his grandfather, who just received a diagnosis of Huntington's disease. The student wants to know if he will have the disease, too. What should the nurse tell the student? Select all that apply.
Correct Answer: B,C
Rationale: Huntington's disease is an autosomal dominant disorder, meaning a 50% chance of inheritance if one parent is affected, and it typically does not skip generations. It affects men and women equally, is not treatable (only symptom management is available), and the risk is not 75% but 50%.
Question 3 of 5
A client with a history of heart failure is prescribed spironolactone (Aldactone). The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring close monitoring.
Question 4 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which instruction should the nurse include?
Correct Answer: B
Rationale: Doubling hydrocortisone during stress (e.g., illness) prevents adrenal crisis in Addison's disease, mimicking the body's natural cortisol response.
Question 5 of 5
Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?
Correct Answer: D
Rationale: Diphenhydramine (Benadryl) is commonly used off-label for sleep due to its sedative properties, making it appropriate if ordered for this purpose.