NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to
Correct Answer: C
Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.
Question 2 of 5
The nurse knows which of the following body systems is responsible for the production of somatostatin?
Correct Answer: B
Rationale: Somatostatin is produced by the gastrointestinal system (e.g., pancreas and stomach) to regulate digestion and hormone release.
Question 3 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 4 of 5
The nurse is caring for an unvaccinated child who developed complications related to German measles (rubella). Which of the following infection control protocols is appropriate?
Correct Answer: C
Rationale: Rubella is transmitted via respiratory droplets, requiring standard and droplet precautions (
C). Contact (
B) and airborne (
D) precautions are not indicated for rubella.
Question 5 of 5
At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:
Correct Answer: C
Rationale: Most infants begin to sleep through the night by 3-4 months as their sleep patterns mature.