NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A priority nursing diagnosis for a child following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy the priority is risk for injury/aspiration due to potential bleeding or swelling that could obstruct the airway. Nutrition communication and urinary elimination are secondary concerns.
Question 2 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which symptom is most characteristic?
Correct Answer: A
Rationale: Elevated hCG levels are the most characteristic symptom of gestational trophoblastic disease reflecting abnormal trophoblastic proliferation. Fetal heart tones are absent uterine size is larger and fever is not typical.
Question 3 of 5
The nurse is assessing the vital signs of a client with pancreatic cancer. In addition to routine vital signs, the nurse assesses the fifth vital sign of:
Correct Answer: B
Rationale: Pain is considered the fifth vital sign, alongside temperature, pulse, respiration, and blood pressure. It is routinely assessed, especially in conditions like pancreatic cancer, which often causes significant pain due to tumor invasion or obstruction.
Question 4 of 5
A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Giving the solid food when the infant is hungriest will increase the likelihood that he will eat. The more solid food he takes, the less milk he will desire, ensuring a balanced diet.
Question 5 of 5
A client with a history of gout is admitted with complaints of joint pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anti-inflammatories (e.g., NSAIDs) relieve joint pain and inflammation in gout flares.