NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a toddler who is assessed as having hypertonicity, delayed fine motor skills, and poor control of coordinated motion. This is indicative of what cerebral palsy (CP) classification? Select all that apply.
Correct Answer: C,E
Rationale: Spastic cerebral palsy is characterized by hypertonicity and poor coordination. Abnormal involuntary or wormlike movements suggest dyskinetic CP, and gross motor impairment is not specified here.
Question 2 of 5
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
Correct Answer: A
Rationale: A ruptured appendix with peritonitis heals by secondary intention, as the wound is left open to heal from the base up due to infection.
Question 3 of 5
A client has been prescribed lansoprazole for 4 weeks. The nurse should monitor the client for relief from which problem?
Correct Answer: B
Rationale: Lansoprazole is a proton pump inhibitor and is classified as an antiulcer agent. The intended effect of the medication is relief of pain from gastric irritation, often referred to as heartburn by clients. The medication does not improve the other symptoms listed.
Question 4 of 5
Which of these stress management techniques employs deep focused breathing, movement and meditation?
Correct Answer: B
Rationale: Tai Chi combines deep breathing, slow movements, and meditation, making it an effective stress management technique.
Question 5 of 5
Your pregnant client has a new order for a medication. What principle should you apply to this new medication?
Correct Answer: A
Rationale: FDA pregnancy categories C, D, and X indicate potential or known risks to the fetus, making them contraindicated unless benefits outweigh risks.