NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:
Correct Answer: D
Rationale: Muscle twitching post-thyroidectomy may indicate hypocalcemia from parathyroid damage, requiring immediate reporting. Hyperthyroidism, calcium foods, and bedtime dosing are not primary concerns.
Question 2 of 5
A client with a history of atrial flutter is admitted with complaints of dizziness. The nurse should give priority to:
Correct Answer: A
Rationale: Atrial flutter causes rapid heart rates, which can lead to dizziness due to reduced cardiac output, so monitoring heart rate is the priority.
Question 3 of 5
After several days, an IDDM client's serum glucose stabilizes, and the registered nurse continues client teaching in preparation for his discharge. The nurse helps him plan an American Diabetes Association diet and explains how foods can be substituted on the exchange list. He can substitute 1 oz of poultry for:
Correct Answer: D
Rationale: Diabetic meat-exchange lists are categorized into lean-meat foods, medium-fat meats, and high-fat meats. Cottage cheese (dry, 2% butterfat), one-fourth cup, can substitute for one lean-meat exchange.
Question 4 of 5
The client is prescribed digoxin (Lanoxin) for heart failure. Which instruction should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Digoxin toxicity is increased with bradycardia, so a pulse below 60 beats per minute should be reported. It can be taken with or without food, potassium monitoring is important but not increasing, and extra doses are dangerous.
Question 5 of 5
Which of the following is a late sign associated with oral cancer?
Correct Answer: C
Rationale: Pain is a late sign of oral cancer, often occurring as the tumor invades deeper tissues or nerves. Early signs include ulcers or white/red patches, while warmth and odor are less specific, and flat-edged ulcers are not typical.