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NCLEX RN Practice Exam Questions

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Question 1 of 5

A pediatric nurse would be concerned by which of the following sets of vital signs?

Correct Answer: B

Rationale: 12-month-old vitals (BP 65/55, RR 50, HR 130) show low BP (normal ~90/50) and high RR (normal 20-30), suggesting distress. Other options are age-appropriate.

Question 2 of 5

The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?

Correct Answer: B

Rationale: A Foley catheter is inserted during cervical radiation implants to keep the bladder empty, reducing radiation exposure to nearby organs. The other options are incorrect or irrelevant.

Question 3 of 5

The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the removal, the nurse should instruct the client to:

Correct Answer: B

Rationale: Holding breath and bearing down (Valsalva maneuver) prevents air entry into the pleural space during chest tube removal.

Question 4 of 5

The nurse is caring for a 7-year-old child with constipation. The child's mother asks the nurse what she can do to help prevent another episode. What information would the nurse include in her response?

Correct Answer: D

Rationale: Encouraging regular toilet habits after meals promotes bowel regularity without relying on invasive or inappropriate measures like enemas or excessive milk.

Question 5 of 5

A 72-year-old client with Parkinson disease is recovering from pneumonia and is to be discharged, but he remains weak and has poor control of his hands because of tremors. A home health aide will visit three times weekly to assist the client to bathe, and his daughter will visit every evening after work to help with laundry and housework. Which of the following referrals is most indicated to allow the client to remain independent in his home?

Correct Answer: D

Rationale: An occupational therapist (
D) can help with adaptive strategies for tremors, promoting independence. Meal delivery (
A), visitors (
B), and hospice (
C) are less relevant.

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