NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 2 of 5
The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:
Correct Answer: D
Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.
Question 3 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.
Question 4 of 5
The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?
Correct Answer: D
Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.
Question 5 of 5
An elderly client with glaucoma has been prescribed Timoptic eyedrops. Timoptic should be used with caution in clients with a history of:
Correct Answer: C
Rationale: Timoptic (timolol), a beta-blocker, should be used cautiously in clients with emphysema, as it can exacerbate respiratory conditions.