NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:
Correct Answer: B
Rationale: A painful blister on the vulva is most consistent with genital herpes, caused by the herpes simplex virus.
Question 2 of 5
The nurse would recognize which symptom as the most likely early indication of pneumonia in an elderly client?
Correct Answer: D
Rationale: Altered mental status is often the earliest sign of pneumonia in the elderly, as they may not present with typical symptoms like fever or chest pain.
Question 3 of 5
A 45-year-old female comes into the clinic for a yearly physical. The nurse calculates her body mass index (BMI) as 32. The nurse would chart this as
Correct Answer: A
Rationale: BMI 30-39.9 is classified as obese. BMI 32 indicates obesity, increasing health risks.
Question 4 of 5
The nurse is caring for clients on the postpartum unit. Which of the following should the nurse assess first?
Correct Answer: C
Rationale: A placenta delivered 10 minutes after the infant is at risk for retained fragments, which can cause postpartum hemorrhage, requiring immediate assessment.
Question 5 of 5
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
Correct Answer: C
Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.