NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?
Correct Answer: D
Rationale: Elevating the child's head to a 30-degree angle is the recommended position for gastroesophageal reflux. The supine position predisposes the child to aspiration. Small, frequent feedings with thickened formula are recommended to minimize vomiting. Antacids should be given at the same time as the feeding to improve their buffering action. The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.
Question 2 of 5
A client with chronic kidney disease is receiving epoetin alfa (Epogen). Which laboratory value indicates the medication is effective?
Correct Answer: A
Rationale: Epoetin alfa stimulates red blood cell production. A hemoglobin of 12 g/dL (
A) indicates effectiveness. Creatinine (
B), potassium (
C), and WBC (
D) are not directly affected.
Question 3 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding is most expected?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid accumulation in pulmonary edema. Tachycardia, productive cough, and hypertension are more common than bradycardia, dry cough, or hypotension.
Question 4 of 5
A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the client's:
Correct Answer: C
Rationale: Assessing the client's level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. Assessing the client's thought processes is an important part of the MSE, but it does not reflect suicide potential. Assessing the client's mood and affect is an important part of the MSE, and it can be a very valuable indicator of suicide potential. Frequently a client who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. Assessing a client's abstracting abilities is an important part of the MSE, but it does not reflect suicide potential.
Question 5 of 5
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her to:
Correct Answer: D
Rationale: Limiting activities requiring close vision will not alleviate the discomfort of double vision. Frequent naps may be comforting, but they will not prevent double vision. Artificial tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia. An eye patch over either eye will eliminate the effects of double vision during the time the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex.