NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected myasthenia gravis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: ptosis and diplopia are common signs of myasthenia gravis due to muscle weakness in the eyes
Question 2 of 5
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?
Correct Answer: B
Rationale: Visual impairment may hinder diabetes self-management, necessitating follow-up.
Question 3 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.
Question 4 of 5
A client being treated with sodium warfarin has an INR of 8.0. Which intervention would be most important to include in the nursing care plan?
Correct Answer: A
Rationale: An INR of 8.0 indicates a high risk of bleeding, so assessing for abnormal bleeding is the priority intervention.
Question 5 of 5
The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?
Correct Answer: D
Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.