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NCLEX-RN Exam Practice Questions

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Question 1 of 5

A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

Correct Answer: A

Rationale: Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices.

Question 2 of 5

The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.

Question 3 of 5

The nurse has been asked to present a lecture on the prevention of West Nile virus in the community setting. Which does the nurse include in the teaching plan?

Correct Answer: A

Rationale: West Nile virus is transmitted by mosquitoes. Wearing protective clothing outside reduces exposure. Midday avoidance (
B) is less effective, DEET repellant (
C) is recommended, and the virus affects all ages, not just under 18 (
D).

Question 4 of 5

The nurse is assessing a client with suspected rheumatoid arthritis. Which finding is most characteristic of this condition?

Correct Answer: A

Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis, reflecting synovial inflammation. Joint pain is symmetrical, fever and weight loss are less specific, and nodules are subcutaneous, not spinal.

Question 5 of 5

The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

Correct Answer: D

Rationale: Oatmeal and fresh fruit provide fiber and bulk, which help prevent constipation. The other options lack sufficient fiber.

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The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
The nurse is teaching a client with a history of celiac disease about dietary modifications. The nurse should tell the client to avoid:

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