NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a small-bore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:
Correct Answer: C
Rationale: A chest x-ray is the most reliable method to confirm small-bore feeding tube placement, as other methods may be inconclusive or unreliable.
Question 2 of 5
The client is admitted with a diagnosis of bacterial meningitis. Which precaution should the nurse implement?
Correct Answer: B
Rationale: Bacterial meningitis (e.g., Neisseria meningitidis) is transmitted via respiratory droplets, requiring droplet precautions. Standard, contact, and airborne precautions are not appropriate.
Question 3 of 5
Which medication does the nurse expect to be ordered for the postpartal patient with bleeding uncontrolled by Pitocin (oxytocin)?
Correct Answer: A
Rationale: Methergine is used to treat postpartum hemorrhage unresponsive to Pitocin by promoting uterine contractions. Aquamephyton is for clotting, Amicar is for fibrinolysis, and Celestone is a corticosteroid, none of which address uterine bleeding.
Question 4 of 5
The physician has ordered a low-residue diet for a client with Crohn's disease. Which food is not permitted in a low-residue diet?
Correct Answer: C
Rationale: A low-residue diet minimizes fiber and irritating foods; fried fish is high in fat and can irritate the gut, making it unsuitable for Crohn's disease.
Question 5 of 5
A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 months. On one of his follow-up visits to the mental health center, the nurse reports to the physician that he has developed tardive dyskinesia. Which of the following symptoms might she have observed in the client to support this conclusion?
Correct Answer: B
Rationale: These symptoms are found in clients with tardive dyskinesia.