NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
An obstetrical client is admitted in active labor. During examination,the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
Correct Answer: B
Rationale: A papular lesion on the perineum during labor could indicate an infectious condition (e.g. herpes simplex virus) which poses risks to the newborn. Reporting to the physician is the most appropriate initial action to determine management such as the need for a C-section.
Question 2 of 5
The nurse is caring for a client with a history of Barrett’s esophagus. The nurse should expect the client to have:
Correct Answer: A
Rationale: Barrett’s esophagus results from chronic acid reflux, causing esophageal lining changes, a key risk factor for esophageal cancer.
Question 3 of 5
Which nursing implication is appropriate for a client undergoing a paracentesis?
Correct Answer: A
Rationale: A full bladder impedes ascitic fluid withdrawal during paracentesis, so the client should void beforehand.
Question 4 of 5
Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adherence to a low-tyramine diet. Which of the following are foods that she should avoid?
Correct Answer: A
Rationale: These foods may produce elevation in blood pressure when consumed during MAO inhibition therapy. These foods have not been pickled, fermented, smoked, or aged. They contain very little, if any, tyramine or tryptophan. As long as the meat has not been aged or smoked, it is within the dietary regimen. Fresh fruits can be consumed as desired. However, the consumption of bananas is limited.
Question 5 of 5
A client with a history of trigeminal neuralgia is admitted with complaints of facial pain. The nurse should give priority to:
Correct Answer: A
Rationale: Trigeminal neuralgia causes severe facial pain, so administering analgesics is the priority to relieve discomfort.