2024 NCLEX RN REVIEW 4

2024 NCLEX RN REVIEW 4

• A client with chronic kidney disease is prescribed a low-

phosphorus diet. Which food would be appropriate for the nurse to recommend?A. Spinach B. Nuts C. Whole grains D. White bread

• The nurse is caring for a client with heart failure. Which

assessment finding indicates a worsening of the client's condition?A. Decreased respiratory rate B. Decreased ankle edema C. Increased heart rate D. Increased urine output

• A postoperative client is at risk for developing deep vein

thrombosis (DVT). What intervention should the nurse prioritize to prevent DVT in this client?A. Encourage ambulation B. Administer analgesics C. Apply cold compresses D. Provide antiembolism stockings

• A client with diabetes mellitus is prescribed metformin. What

information should the nurse include in the client's teaching?A. Take the medication with meals B. Skip the medication if blood sugar is low C. Increase the dose if feeling stressed D. Take the medication at bedtime

• A client diagnosed with major depressive disorder is started on

an SSRI (selective serotonin reuptake inhibitor). What should the nurse monitor for as a potential side effect?A. Increased risk of suicidal thoughts B. Hypertensive crisis C. Extrapyramidal symptoms

D. Respiratory depression

• The nurse is caring for a client with a head injury. Which

assessment finding requires immediate intervention?A. Dilated pupils B. Clear drainage from the nose C. Decreased level of consciousness D. Slurred speech

• A client with hypertension is prescribed a diuretic. What should

the nurse instruct the client about regarding potassium-rich foods?A. Include bananas and oranges in the diet B. Limit intake of leafy green vegetables C. Avoid all fruits high in potassium D. Increase intake of processed foods

• A client with pneumonia is receiving oxygen therapy. What

assessment finding indicates that the oxygen therapy is effective?A. Increased respiratory rate B. Improved oxygen saturation C. Cyanosis around the lips D. Decreased chest expansion

• The nurse is assessing a newborn for signs of respiratory distress

syndrome (RDS). What finding is consistent with RDS in a newborn?A. Rapid and shallow respirations B. Slow and irregular respirations C. Decreased heart rate D. Pink coloration of the skin

• A client with type 2 diabetes is prescribed insulin. What

statement by the client indicates a need for further teaching?A. "I will rotate injection sites." B. "I will administer insulin when my blood sugar is low." C. "I will monitor my blood sugar regularly." D. "I can skip my insulin dose when I am feeling unwell."

• A client is receiving intravenous heparin therapy for deep vein

thrombosis (DVT). What is the nurse's priority intervention for this client?A. Administer oral anticoagulant B. Encourage ambulation C. Monitor for signs of bleeding D. Apply warm compresses to the affected leg

• A client with heart failure is prescribed digoxin. What

assessment finding suggests toxicity of the medication?A. Decreased heart rate B. Increased urine output C. Visual disturbances such as halos D. Improved appetite

• A postoperative client is at risk for atelectasis. What nursing

intervention is essential to prevent atelectasis in this client?A. Encourage deep breathing and coughing exercises B. Administer an antipyretic medication C. Limit fluid intake D. Place the client in a high Fowler's position

• A client with chronic obstructive pulmonary disease (COPD) is

prescribed oxygen therapy. What is the most appropriate delivery device for this client?A. Nasal cannula B. Simple face mask C. Venturi mask D. Non-rebreather mask

• A client is admitted with suspected appendicitis. What

assessment finding is indicative of appendicitis?A. Right lower quadrant pain and rebound tenderness B. Left lower quadrant pain and nausea C. Periumbilical pain and diarrhea D. Suprapubic pain and**

• A client with suspected meningitis is admitted to the hospital.

What precautionary measures should the nurse implement?

A. Standard precautions B. Droplet precautions C. Airborne precautions D. Contact precautions

• A client with a history of hypertension is prescribed a diuretic.

What potential side effect should the nurse monitor for in this client?A. Hypokalemia B. Hyponatremia C. Hypercalcemia D. Hyperkalemia

• A pregnant client is scheduled for a glucose tolerance test. What

instructions should the nurse provide to the client?A. Fast overnight before the test B. Drink plenty of water before the test C. Eat a high-fat meal before the test D. Refrain from drinking any fluids before the test

• A client is receiving chemotherapy for cancer. What nursing

intervention is essential to prevent infection in this client?A. Monitor for signs of neutropenia B. Administer analgesics for pain relief C. Encourage fluid intake D. Provide high-calorie meals

• A client with a history of epilepsy is prescribed phenytoin

(Dilantin). What should the nurse instruct the client about regarding this medication?A. Take the medication with meals B. Avoid alcohol consumption C. Skip a dose if a seizure occurs D. Discontinue the medication if side effects occur

• A client is diagnosed with hyperthyroidism. What dietary advice

should the nurse provide to the client?A. Increase iodine-rich foods in the diet B. Limit fluid intake