NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Correct Answer: B
Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical finding in bacterial meningitis in infants.
Question 2 of 5
An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should
Correct Answer: C
Rationale: In hospice care, respecting the client’s autonomy is key. Accepting the decision to stop eating and focusing on comfort aligns with end-of-life care principles.
Question 3 of 5
Which diet is associated with an increased risk of colorectal cancer?
Correct Answer: C
Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.
Question 4 of 5
The nurse is monitoring a client’s EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?
Correct Answer: D
Rationale: Lidocaine is the drug of choice for frequent premature ventricular contractions (PV
C) occurring in excess of 6-10 per minute; for coupled PVCs or for a consecutive series of PVCs that may result in ventricular tachycardia
Question 5 of 5
The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:
Correct Answer: C
Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.