NCLEX-Style Review Questions

Question 1

When the nursing care plan indicated that a client is to be weighed regularly, what is most important to consider?
1. When the client was weighed before
2. When the client last took a drink of fluid
3. How much the client has eaten so far today
4. Whether the client feels like being weighed

Question 2

A nurse is most accurate in identifying which items that a client on a low-sodium diet should avoid? Select all that apply
1. Soy sauce
2. Lemon Juice
3. Cheddar cheese
4. Maple syrup
5. Onion powder
6. Smoked salmon

Question 3

When a client asks how a transfusion of packed red blood cells differs from the usual whole blood transfusion, which nursing explanation is most correct?
1. A unit of packed red blood cells has the same number of red blood cells in less fluid volume.
2. A unit of packed red blood cells contains more red blood cells in the same amount of fluid volume.
3. A unit of packed red blood cells is less likely to cause an allergic transfusion reaction.
4. A unit of packed red blood cells will stimulate the bone marrow to make more red blood cells.

Question 4

When sent to the blood bank to obtain a unit of blood for a client with type Am Rh-positive blood, if all the following units of blood are available, which is the nurse correct to refuse?
1. Type A, Rh-negative
2. Type O, Rh-positive
3. Type O, Rh-negative
4. Type AB, Rh-positive

Question 5

When the nurse monitors a client receiving a blood transfusion, which is most indicative that the client is experiencing a transfusion reaction during the first 15 min of the infusion?
1. The client feels an urgent need to urinate.
2. The clients blood pressure becomes low
3. Localized swelling develops at the infusion site.
4. The skin is pale at the site of the infusing blood.