NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
Correct Answer: B
Rationale: Facial burns increase the risk of laryngeal edema due to inhalation injury, which can compromise the airway and is the most immediate concern.
Question 2 of 5
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Correct Answer: B
Rationale: Adding baby oil to bath water moisturizes the skin, reducing pruritis in hepatitis clients, unlike warm showers or powder, which may worsen dryness.
Question 3 of 5
The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:
Correct Answer: D
Rationale: Mitral stenosis murmurs are best heard at the fourth intercostal space midclavicular line, the mitral valve area.
Question 4 of 5
The nurse is caring for a 10-year-old boy with hemophilia. The nurse suspects the child has developed hemarthrosis when she observes
Correct Answer: D
Rationale: Hemarthrosis (joint bleeding) in hemophilia presents with redness, swelling, and warmth over the joint due to blood accumulation.
Question 5 of 5
The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Diabetic ketoacidosis (DK
A) is characterized by polyuria (
B), hyperventilation (C, Kussmaul respirations), polydipsia (
D), and abdominal pain (F) due to hyperglycemia and acidosis. Increased appetite (
A) and hypertension (E) are not typical DKA symptoms.