NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:
Correct Answer: C
Rationale: Pieces of cereal are soft, small, and safe for a toddler to chew, promoting jaw development without posing a choking hazard, unlike hot dogs, carrot sticks, or raisins.
Question 2 of 5
Which observation would the nurse expect to make after an amniotomy?
Correct Answer: C
Rationale: After an amniotomy the nurse expects clear amniotic fluid. Greenish fluid suggests meconium dark yellow may indicate infection and red fluid indicates bleeding all of which are abnormal.
Question 3 of 5
An adult client is admitted to the orthopedic unit with a history of thalassemia. What clinical manifestations does the nurse expect the client to exhibit?
Correct Answer: A, B, C
Rationale: Thalassemia causes splenomegaly (
A) from hemolysis, mild anemia (
B), and jaundice (
C) from bilirubin buildup. Headaches (
D) and epistaxis (E) are less common.
Question 4 of 5
When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:
Correct Answer: C
Rationale: Pericarditis can cause dyspnea but primarily causes chest pain. Anxiety can cause dyspnea resulting in SOB, yet it is not typically influenced by degree of head elevation. The inability to oxygenate well without being upright is most indicative of congestive heart failure, due to alveolar drowning. Angina causes primarily chest pain; any SOB associated with angina is not influenced by body position.
Question 5 of 5
A new diabetic is learning to administer his insulin. He receives 10 units of NPH insulin and 12 units of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?
Correct Answer: A
Rationale: When mixing regular and NPH insulin in one syringe, regular (clear) insulin is drawn first to prevent contamination of the regular insulin vial with NPH (cloudy). They can be mixed, so two injections are unnecessary.