NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT
Correct Answer: C
Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.
Question 2 of 5
The nurse finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?
Correct Answer: B
Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.
Question 3 of 5
The nurse is caring for a client with a closed head injury. A late sign of increased intracranial pressure is:
Correct Answer: A
Rationale: Changes in pupil equality and reactivity are late signs of increased intracranial pressure, indicating neurological deterioration.
Question 4 of 5
The nurse is preparing to discharge a 60-year-old woman on warfarin (Coumadin) after mitral valve replacement. Which dietary restriction should the nurse advise the client to make?
Correct Answer: C
Rationale: Green beans are high in vitamin K, which can counteract warfarin’s anticoagulant effect. Other foods listed have minimal vitamin K.
Question 5 of 5
Which action by the healthcare worker indicates a need for further teaching?
Correct Answer: D
Rationale: Wearing gloves to monitor the IV infusion rate is unnecessary unless contact with bodily fluids is anticipated, indicating a need for further teaching on infection control.