NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A client with recurrent episodes of gout has been advised to eat a low-purine diet. Which of the following foods should the nurse advise him to limit or avoid? Select all that apply.
Correct Answer: A,B,E
Rationale: High-purine foods like liver (
A), sardines (
B), and beef broth (E) should be limited to reduce gout flare-ups. Wine (
C), low-fat yogurt (
D), and potatoes (F) are low in purines and generally safe.
Question 2 of 5
A client has been diagnosed with immune thrombocytic purpura (ITP). Which of the following signs and symptoms indicate increased thrombocytopenia? Select all that apply.
Correct Answer: A,B
Rationale: ITP causes low platelets, leading to nosebleeds (
A) and petechiae/bruising (
B). Vision changes (
C), numbness (
D), and confusion (E) are not typical.
Question 3 of 5
The mother of a 24-month-old child tells the nurse that she is concerned that her child's language abilities are delayed. Which of the following language milestones does the nurse expect the child to exhibit?
Correct Answer: A
Rationale: A 24-month-old should understand about 300 words and use two- to three-word sentences (
A). Other options (B, C,
D) describe earlier developmental stages.
Question 4 of 5
A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?
Correct Answer: B
Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.
Question 5 of 5
A client with angina is experiencing migraine headaches. The physician has prescribed Sumatriptan succinate (Imitrex). Which nursing action is most appropriate?
Correct Answer: A
Rationale: Sumatriptan is contraindicated in clients with angina due to its vasoconstrictive effects, which can exacerbate ischemia. The nurse should question the prescription.