NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?
Correct Answer: B
Rationale: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting cranial nerves, particularly the optic and oculomotor nerves.
Question 2 of 5
The best size cathlon for administration of a blood transfusion to a six year old is:
Correct Answer: D
Rationale: A 20-gauge catheter is appropriate for blood transfusion in a six-year-old, balancing flow rate and vessel size.
Question 3 of 5
Which instruction would not be included in the discharge teaching of the client receiving chlorpromazine (Thorazine)?
Correct Answer: B
Rationale: Avoiding aged cheese is relevant for MAO inhibitors, not chlorpromazine, which does not interact with tyramine-containing foods.
Question 4 of 5
The client is admitted to the ER with multiple rib fractures on the right. The nurse's assessment reveals that an area over the right clavicle is puffy and that there is a 'crackling' noise with palpation. The nurse should further assess the client for which of the following problems?
Correct Answer: B
Rationale: The 'puffy' area and 'crackling' noise (crepitus) with palpation are classic signs of subcutaneous emphysema, where air is trapped under the skin, often due to a pneumothorax or rib fractures allowing air to escape into subcutaneous tissue.
Question 5 of 5
A client has increasing pain in both hands. On examination, the nurse notes that the metacarpophalangeal and proximal interphalangeal joints are enlarged and swollen, swanneck deformity is evident, and the fingers on both hands show ulnar deviation. These findings are consistent with which of the following disorders?
Correct Answer: B
Rationale: Swanneck deformity, ulnar deviation, and swollen MCP/PIP joints are classic for rheumatoid arthritis (
B). Osteoarthritis (
A) affects distal joints, gout (
C) causes tophi, and psoriatic arthritis (
D) involves skin lesions.