NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
A five-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?
Correct Answer: D
Rationale: Constant swallowing post-tonsillectomy suggests bleeding, as the child may be swallowing blood from the surgical site, a serious complication requiring immediate attention. Decreased appetite and low-grade fever are expected, and chest congestion is unrelated.
Question 2 of 5
A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:
Correct Answer: A
Rationale: Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self-starvation. Distraction does not focus on the client's need for control. Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.
Question 3 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 4 of 5
Which finding is considered a risk factor in the development of leukemia?
Correct Answer: C
Rationale: Radiation exposure such as from treatment for Hodgkin’s lymphoma is a known risk factor for leukemia. Stamp collecting computer programming and a family history of stomach cancer are not established risk factors.
Question 5 of 5
A two-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?
Correct Answer: A
Rationale: Currant jelly stools (bloody, mucousy) are classic in intussusception due to intestinal ischemia. Vomiting and a palpable abdominal mass may occur, but stools and flank masses are less specific.