NCLEX RN Review Questions with Correct Answers

A client who has amyotrophic lateral sclerosis is having frequent episodes of dysphagia. Which of the following referrals is appropriate for the nurse to make currently? 1. Physical Therapist 2. Speech Pathologist 3. Registered Dietitian 4. Occupational Therapist 2. Speech Pathologist A client who has chronic progressive dementia exhibits symptoms of malnutrition. Which action is needed at this time? 1. Notify social services about concern for abuse. 2. Initiate a consult for physical therapy to visit daily. 3. Ask home care services to provide written instructions. 4. Arrange a meeting with the interprofessional team to coordinate care? 4. Arrange a meeting with the interprofessional team to coordinate care? A nurse should recognize which of the following clients are likely to need rehabilitation services after hepatization? (SATA) 1. School-age child who is recovering from an appendectomy. 2. Client who had a cesarean delivery for a breech presentation. 3. An adult client who has left hemiplegia after a stroke. 4. An adult client who is recovering from Guillain-Barre syndrome. 5. An older adult client who had a left hip replacement. 6. An adolescent client who required hospitalization due to asthma. 3. An adult client who has left hemiplegia after a stroke. 4. An adult client who is recovering from Guillain-Barre syndrome. 5. An older adult client who had a left hip replacement. A nurse is assigned to a group of clients. Which of the following has an increased risk of aspiration while eating? (SATA) 1. A client who has a new diagnosis of gastroesophageal reflux disease. 2. A client who has admitted with a diagnosis of cerebrovascular accident. 3. A client who is 4 hr. post-op and received general anesthesia. 4. A client who is 8 hr. following traumatic laryngeal nerve damage. 5. A client who continually experiences prolonged coughing episodes. 2. A client who has admitted with a diagnosis of cerebrovascular accident. 3. A client who is 4 hr. post op and received general anesthesia. 4. A client who is 8 hr. following traumatic laryngeal nerve damage. 5. A client who continually experiences prolonged coughing episodes. A client is receiving packed RBCs and becomes tachypneic. The client's temperature changes from 36.8*C (98.4*F) to 38.4*C (101.2*F). Which of the nursing interventions should the nurse perform first. 1. Give 750 mg acetaminophen orally. 2. Collect blood and urine specimens for analysis. 3. Administer and IV infusion of 0.9% sodium chloride. 4. Stop the infusion and return the blood to the lab. 4. Stop the infusion and return the blood to the lab. A nurse receives a request from four clients at the same time. Which of the following clients should the nurse address first? A client who