NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:
Correct Answer: B
Rationale: Vegetable exchanges are allowed within the same group to maintain nutritional balance. Corn is classified as a starchy vegetable and counts as a bread exchange due to its carbohydrate content, which affects blood glucose levels. Not all vegetables are interchangeable; starchy vegetables like corn have different nutritional impacts than non-starchy ones like broccoli. Limiting to half an ear does not address the dietary classification and could confuse the child about proper exchanges.
Question 2 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.
Question 3 of 5
The client at 36 weeks gestation is admitted with painless vaginal bleeding. The nurse should suspect which of the following conditions?
Correct Answer: B
Rationale: Placenta previa typically presents with painless vaginal bleeding in the third trimester as the placenta covers the cervix. Abruptio placenta causes painful bleeding premenstrual syndrome is unrelated to pregnancy and cord prolapse involves fetal distress not bleeding.
Question 4 of 5
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency where reduced placental blood flow during contractions causes fetal hypoxia. Cord compression causes variable decelerations head compression causes early decelerations and sleep does not cause decelerations.
Question 5 of 5
The nurse is teaching a client with a history of celiac disease about dietary modifications. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Celiac disease requires a gluten-free diet to prevent intestinal damage, so avoiding gluten-containing foods is essential.