NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
The client is diagnosed with a tension pneumothorax. Which intervention should the nurse anticipate?
Correct Answer: C
Rationale: Tension pneumothorax, a medical emergency, requires needle decompression to relieve pressure on the lung and mediastinum, followed by chest tube insertion. Oxygen and bronchodilators are secondary.
Question 2 of 5
Which of the following blood values would require further nursing action in a newborn who is 4 hours old?
Correct Answer: C
Rationale: A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention.
Question 3 of 5
A client with a history of a brain tumor is receiving Decadron (dexamethasone). The nurse should monitor the client for:
Correct Answer: A
Rationale: Dexamethasone, a corticosteroid, causes weight gain due to fluid retention and increased appetite. Hypotension, hypoglycemia, and hair loss are not typical side effects.
Question 4 of 5
The nurse is teaching a client with a history of migraines about trigger avoidance. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Chocolate is a common migraine trigger, potentially causing vasoconstriction or neurotransmitter changes, so it should be avoided.
Question 5 of 5
Which one of the following situations represents a maturational crisis for the family?
Correct Answer: A
Rationale: A maturational crisis involves normal developmental transitions, such as a child entering nursery school, which can stress family dynamics.