NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?
Correct Answer: A
Rationale: Clostridium difficile causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated inflammation of the colon.
Question 2 of 5
In cleansing the perineal area around the site of catheter insertion, the nurse would:
Correct Answer: B
Rationale: Wiping away from the urinary meatus removes microorganisms from the insertion point, decreasing the risk of bladder infection. The other options increase infection risk or are inappropriate.
Question 3 of 5
On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?
Correct Answer: B
Rationale: The client has lithium toxicity, and the nurse must withhold further dosages. Because of her level of toxicity, further lithium could cause coma and death. The nurse needs further orders from the physician to stabilize the client's lithium level.
Question 4 of 5
An 8-year-old child comes to the physician's office complaining of swelling and pain in the knees. His mother says, 'The swelling occurred for no reason, and it keeps getting worse.' The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?
Correct Answer: D
Rationale: Urinary tract symptoms are not commonly associated with Lyme disease. A fever of 103°F is not characteristic of Lyme disease. The rash that is associated with Lyme disease does not appear on the palms of the hands and the soles of the feet. Classic symptoms of Lyme disease include headache, malaise, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, sore throat, abdominal pain, and cough.
Question 5 of 5
A client with a history of prostate cancer is admitted with complaints of bone pain. The nurse should give priority to:
Correct Answer: A
Rationale: Bone pain in prostate cancer often indicates bone metastasis, so monitoring for metastasis is the priority.