NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A 4 days postpartum client who is gravida 3, para 3, is examined by the home health nurse during her first postpartum home visit. The nurse notes that she has a pink vaginal discharge with a serosanguineous consistency. The nurse would most accurately chart the client's lochia as:
Correct Answer: C
Rationale: Lochia rubra is bloody with clots and occurs 1-3 days postpartum. There is no such term as lochia rosa. Lochia serosa is a pink-brown discharge with a serosanguineous consistency that occurs 4-9 days postpartum. Lochia alba is yellow to white in color and occurs approximately 10 days postpartum.
Question 2 of 5
Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders?
Correct Answer: D
Rationale: If both parents are affected by the disorder and are not just carriers, then all their children would manifest the same disorder.
Question 3 of 5
The nurse is caring for a client with a history of multiple sclerosis. Which intervention is most appropriate to prevent complications?
Correct Answer: C
Rationale: Hot baths can exacerbate multiple sclerosis symptoms by increasing body temperature, causing fatigue or weakness. Weight-bearing exercise is encouraged, antibiotics are not routine, and fluid restriction is harmful.
Question 4 of 5
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
Correct Answer: B
Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication. Rhyming, irrelevant details, or neologisms are different symptoms.
Question 5 of 5
A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:
Correct Answer: B
Rationale: (A, C,
D) A Trendelenburg gait is not characteristic of any of these disorders. The downward slant of one hip is a positive sign of dislocation in the weight-bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.