NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An 8-year-old boy is diagnosed with a Wilm's tumor. The nurse would expect what finding on assessment?
Correct Answer: D
Rationale: Wilm’s tumor (nephroblastoma) often presents with an enlarged abdomen due to a palpable renal mass.
Question 2 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: unexpected until 6 months of age
Question 3 of 5
The nurse is caring for a client after he experienced a seizure (postictal). Which intervention would the nurse expect not to perform?
Correct Answer: A
Rationale: During the postictal phase, the client needs rest and monitoring, not immediate return to pre-seizure activity, which could be unsafe.
Question 4 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 5 of 5
A client with pelvic skin traction for low back pain is at risk of which of the following problems associated with decreased mobility? Select all that apply.
Correct Answer: A,B,C
Rationale: Decreased mobility from traction increases risks of orthostatic hypotension (
A), muscle weakness (
B), and venous stasis (
C). Dysuria (
D) and confusion (E) are less directly related.