NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis is beginning to develop flexion contractures of the knees. The nurse should tell the client to:
Correct Answer: A
Rationale: Lying prone with feet hanging over the mattress edge helps stretch the knee joints and prevent flexion contractures in rheumatoid arthritis. The other positions do not address knee extension.
Question 2 of 5
A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:
Correct Answer: B
Rationale: An echocardiogram is non-invasive, requiring the client to lie still while cool gel is applied for ultrasound imaging, with no pain involved.
Question 3 of 5
A client is scheduled for a biologic heart valve replacement. The nurse is aware that the client will require:
Correct Answer: C
Rationale: Biologic (tissue) heart valves are prone to bacterial endocarditis. Strict dental hygiene prevents infections that could seed the valve. Lifelong anticoagulation is typically for mechanical valves and the other options are not specific to biologic valves.
Question 4 of 5
A client with a history of a peptic ulcer is receiving Zantac (ranitidine). The nurse should teach the client to:
Correct Answer: B
Rationale: Caffeine can exacerbate peptic ulcers by increasing gastric acid production, counteracting ranitidine’s effects. Ranitidine is taken regardless of meals, and chest pain or fluids are secondary.
Question 5 of 5
The doctor has ordered a restricted fluid intake for a 2-year-old child with a head injury. Normal fluid intake for a child of 2 years is:
Correct Answer: C
Rationale: Normal intake for a child of 2 years is about 1600 mL in 24 hours.