NCLEX RN Questions Nursing Fundamentals
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Question 1 of 5.
The nurse is part of an infection control committee that is responding to an outbreak of norovirus in the long-term care facility. Which recommendation should the nurse make to prevent further transmission of this outbreak?
A. Place face shields outside client rooms.
B. Discontinue indwelling urinary catheters that are not medically necessary.
C. Wipe down surfaces with hot, soapy water.
D. Increase the frequency of cleaning and disinfection of client care areas.
Explanation: Increased cleaning and disinfection of surfaces prevent norovirus spread via contaminated surfaces. Face shields, catheter discontinuation, and soapy water are less effective.
Question 2 of 5.
The nurse is observing a student nurse feed a client requiring aspiration precautions. The nurse should intervene if the student
A. Asks the client to remain sitting upright for at least 30 to 60 minutes after a meal.
B. Reminds the client to tilt their head backward when eating and drinking.
C. Avoids mixing foods of different textures in the same mouthful.
D. Places salt and pepper on the client's food at their request.
Explanation: Tilting the head backward increases aspiration risk. Upright positioning, avoiding mixed textures, and seasoning food are appropriate.
Question 3 of 5.
The nurse is caring for a client with increased intracranial pressure (ICP). The nurse plans on positioning the client's head of bed at
A. 25 degrees.
B. 30-40 degrees.
C. 10-20 degrees.
D. 5-10 degrees.
Explanation: A 30-40 degree elevation optimizes cerebral venous drainage, reducing ICP. Lower angles may increase ICP, and 25 degrees is suboptimal.
Question 4 of 5.
The nurse is teaching a client with hypothyroidism. The nurse should recommend that the client increase their intake of foods rich in
A. Fiber.
B. Saturated fats.
C. Calcium.
D. Potassium.
Explanation: Fiber aids digestion, often slowed in hypothyroidism. Saturated fats, calcium, and potassium are not specifically indicated.
Question 5 of 5.
The nurse is caring for a client who has nausea related to prescribed chemotherapy treatments. The nurse should recommend that the client. Select all that apply.
A. Consume foods and liquids at room temperature.
B. Drink a large amount of fluid with meals.
C. Consume foods without aromas
D. Eat smaller portion sizes throughout the day.
E. Delay taking the prescribed antiemetic until the nausea is severe.
Explanation: Room-temperature foods, low-aroma foods, and smaller portions reduce nausea. Large fluid intake with meals worsens nausea, and antiemetics should be taken proactively.
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