NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. The doctor diagnoses chickenpox. Her mother asks the nurse how many baby aspirins her daughter can have for fever. The nurse should:
Correct Answer: A
Rationale: Aspirin taken during a viral infection has been implicated as a predisposing factor to Reye's syndrome in children and adolescents. Children and adolescents should not be given aspirin. Allergy to aspirin is not related to Reye's syndrome. Tinnitus, caused by damage to the acoustic nerve, occurs with aspirin toxicity, but this is not related to Reye's syndrome. A 6-year-old child should not be given any baby aspirin.
Question 2 of 5
The client is admitted to the intensive care unit following a coronary artery bypass graft. The nurse checks the vital signs and notes a heart rate of 120 beats per minute, blood pressure of 70/40, and respiration of 32 breaths per minute. The nurse suspects hypovolemic shock. Which assessment tools would contribute to a diagnosis of hypovolemic shock?
Correct Answer: A, B, D
Rationale: Hypovolemic shock involves low blood volume, reflected by low hemoglobin (5 g,
A), low central venous pressure (2 mmHg,
B), and low hematocrit (22%,
D). Normal pulmonary artery wedge pressure (16 mmHg,
C) suggests no left heart failure. Elevated troponin (E) indicates myocardial damage, not volume status.
Question 3 of 5
Which nursing assessment indicates that involutional changes have occurred in a client who is three days postpartum?
Correct Answer: A
Rationale: A firm fundus three finger widths below the umbilicus by day three postpartum indicates normal uterine involution, as the uterus contracts and descends.
Question 4 of 5
The nurse is caring for a client with a diagnosis of hyperemesis gravidarum. Which laboratory finding is most likely to be present?
Correct Answer: D
Rationale: Hyperemesis gravidarum causes prolonged vomiting leading to metabolic alkalosis (loss of stomach acid) hyponatremia (electrolyte loss) and hypokalemia (potassium loss). All are likely findings in severe cases.
Question 5 of 5
A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in assisting her in expressing her feelings. Which activity should the nurse provide the child to assist her in expressing her feelings?
Correct Answer: D
Rationale: Puppets allow expression of feelings and fears that otherwise could not be directly communicated, helping the child articulate emotions.