NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:
Correct Answer: C
Rationale: Standing or sitting next to the client conveys caring and provides a sense of security, reducing anxiety.
Question 2 of 5
A client with a history of chronic migraines is admitted with complaints of photophobia. The nurse should give priority to:
Correct Answer: A
Rationale: A dark environment reduces photophobia in migraines, improving comfort and reducing symptom severity.
Question 3 of 5
The nurse is caring for a client with a recent laparoscopic hemicolectomy. Which finding should be reported to the physician?
Correct Answer: D
Rationale: Increasing abdominal girth post-hemicolectomy may indicate complications like bleeding, ileus, or perforation, requiring immediate physician notification. Sluggish bowel sounds, umbilical pain, and liquid stool are expected early post-op.
Question 4 of 5
The client with hyperemesis gravidarum is at risk for developing:
Correct Answer: B
Rationale: Hyperemesis gravidarum causes prolonged vomiting leading to dehydration and loss of stomach acid resulting in metabolic acidosis. The dehydration exacerbates the acid-base imbalance.
Question 5 of 5
On an assessment of a client's mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:
Correct Answer: C
Rationale: Leukoplakia cannot be rubbed off.