NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A client has just finished her lunch, consisting of shrimp with rice, fruit salad, and a roll. The client calls for the nurse, stating, 'My throat feels thick and I'm having trouble breathing.' What action should the nurse implement first?
Correct Answer: C
Rationale: Symptoms suggest an allergic reaction, possibly anaphylaxis from shrimp. Placing the client in high Fowler's position facilitates breathing, and calling the physician ensures rapid intervention.
Question 2 of 5
How many hours of activity per day are necessary to prevent disuse syndrome with muscle atrophy and joint contracture?
Correct Answer: C
Rationale: Approximately 2 hours of activity daily (
C), including range-of-motion exercises or ambulation, helps prevent disuse syndrome, muscle atrophy, and joint contractures in immobilized clients.
Question 3 of 5
A client has been diagnosed with glossopharyngeal neuralgia. The nurse will expect the client to
Correct Answer: D
Rationale: Glossopharyngeal neuralgia causes severe pain in the throat, ears, tongue, and tonsils due to irritation of the ninth cranial nerve.
Question 4 of 5
Which nursing assessment indicates that involutional changes have occurred in a client who is 3 days postpartum?
Correct Answer: A
Rationale: A firm fundus 3 finger widths below the umbilicus by day 3 postpartum indicates normal uterine involution, as the uterus shrinks progressively after delivery.
Question 5 of 5
The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone