NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

Priapism may be a sign of:

Correct Answer: A

Rationale: Priapism in the trauma client is due to the neurological dysfunction seen in spinal cord injury. Priapism is an abnormal erection of the penis; it may be accompanied by pain and tenderness. This may disappear as spinal cord edema is relieved. It is not associated with death, urinary incontinence, or reproductive dysfunction as a primary issue.

Question 2 of 5

Which task should be delegated to the licensed practical nurse?

A. Administering heparin subcutaneously B. Feeding the client with a percutaneous endoscopy gastrostomy tube C. Removing a peripherally inserted central line D. Monitoring chest tube drainage E. Performing tracheostomy care

Correct Answer: A, B, D, E

Rationale: LPNs can administer subcutaneous heparin (
A), feed via PEG tube (
B), monitor chest tubes (
D), and perform tracheostomy care (E). Removing a PICC line (
C) requires RN-level expertise due to potential complications.

Question 3 of 5

A client with a history of trigeminal neuralgia is admitted with complaints of facial pain. The nurse should give priority to:

A. Administering analgesics B. Monitoring blood pressure C. Providing a quiet environment D. Administering oxygen

Correct Answer: A

Rationale: Trigeminal neuralgia causes severe facial pain, so administering analgesics is the priority to relieve discomfort.

Question 4 of 5

Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 20 years old. It is characterized by an absence of, or marked decrease in, circulating insulin. When teaching a newly diagnosed diabetes client, the nurse includes information on the functions of insulin:

A. Transport of glucose into body cells and storage of glycogen in the liver B. Glycogenolysis and facilitation of glucose use for energy C. Glycogenolysis and catabolism D. Catabolism and hyperglycemia

Correct Answer: A

Rationale: Lack of insulin causes glycogenolysis, catabolism, and hyperglycemia. Insulin promotes the conversion of glucose to glycogen for storage and regulates the rate at which carbohydrates are used by cells for energy. Insulin is anabolic in nature. Glucose stimulates protein synthesis within the tissue and inhibits the breakdown of protein into amino acids.

Question 5 of 5

A male infant is to be discharged home this morning. Which instruction related to his cord care should be included in his mother's discharge teaching plan?

A. Keep the umbilical area moist with Vaseline until the stump falls off. B. Keep the umbilical area covered at all times with the diaper. C. Clean the umbilical cord with alcohol at each diaper change. D. Clean the umbilical cord daily with soap and water during the bath.

Correct Answer: C

Rationale: The umbilical area should be kept dry for healing to occur. Moisture is conducive to bacterial growth and therefore could lead to infection at the site. The diaper should be folded below the cord to allow the cord stump to be exposed to the air for healing. The umbilical cord should be swabbed with alcohol at each diaper change to remove urine and stool and to facilitate the desiccation process through drying. Soap and water should not be used to clean the umbilical area because the area could retain moisture, thus making it susceptible to bacterial growth and infection.