NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
Correct Answer: B
Rationale: rebound tenderness at McBurney’s point is a classic sign of appendicitis
Question 2 of 5
Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?
Correct Answer: A
Rationale: High-fiber diets promote soft stools, reducing strain post-hemorrhoidectomy.
Question 3 of 5
The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.
Question 4 of 5
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
Correct Answer: B
Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.
Question 5 of 5
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.