NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?
Correct Answer: B
Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding
Question 2 of 5
An important intervention in monitoring the dietary compliance of a client with bulimia is:
Correct Answer: C
Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.
Question 3 of 5
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.
Question 4 of 5
The nurse caring for clients with coronary artery disease recognizes which one of the following as a modifiable risk factor?
Correct Answer: C
Rationale: An elevated LDL level (180 mg/dL) is modifiable through diet, exercise, and medication, unlike family history, race, or gender, which are non-modifiable.
Question 5 of 5
The nurse recognizes all of the following as common physical characteristics of a child with Down syndrome EXCEPT
Correct Answer: D
Rationale: Down syndrome features include small, low-set ears, downward slanting eyes, and hyperflexibility. An enlarged tongue (macroglossia) is less common or not a hallmark feature.