2026/2027 NCLEX RN EXAM REVIEW 4

1. A client with chronic kidney disease is prescribed a lowphosphorus diet. Which food would be appropriate for the nurse to
recommend?
ï‚· A. Spinach
ï‚· B. Nuts
ï‚· C. Whole grains
ï‚· D. White bread
2. The nurse is caring for a client with heart failure. Which
assessment finding indicates a worsening of the client's condition?
ï‚· A. Decreased respiratory rate
ï‚· B. Decreased ankle edema
ï‚· C. Increased heart rate
ï‚· D. Increased urine output
3. A postoperative client is at risk for developing deep vein
thrombosis (DVT). What intervention should the nurse prioritize to
prevent DVT in this client?
ï‚· A. Encourage ambulation
ï‚· B. Administer analgesics
ï‚· C. Apply cold compresses
ï‚· D. Provide antiembolism stockings
4. A client with diabetes mellitus is prescribed metformin. What
information should the nurse include in the client's teaching?
ï‚· A. Take the medication with meals
ï‚· B. Skip the medication if blood sugar is low
ï‚· C. Increase the dose if feeling stressed
ï‚· D. Take the medication at bedtime
5. 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?
ï‚· A. Increased risk of suicidal thoughts
ï‚· B. Hypertensive crisis
ï‚· C. Extrapyramidal symptoms