NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?
Correct Answer: A
Rationale: Diminished femoral pulses in a newborn suggest coarctation of the aorta, a cardiac anomaly, due to reduced blood flow to the lower extremities. The other findings are normal or nonspecific.
Question 2 of 5
Which of the following combinations of foods is appropriate for an eight-month-old infant?
Correct Answer: C
Rationale: Rice cereal, bananas, and strained carrots are developmentally appropriate, easily digestible foods for an eight-month-old, unlike the other options, which include choking hazards or inappropriate items like whole milk.
Question 3 of 5
The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:
Correct Answer: A
Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.
Question 4 of 5
A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, 'My doctor is in love with me and wants to marry me.' This client is using which of the following defense mechanisms?
Correct Answer: B
Rationale: Displacement involves transferring feelings to a more acceptable object. Projection involves attributing one's thoughts or feelings to another person. Reaction formation involves transforming an unacceptable impulse into the opposite behavior. Suppression involves the intentional exclusion of unpleasant thoughts or experiences.
Question 5 of 5
A client's membranes have just ruptured spontaneously. Which of the following nursing actions should take priority?
Correct Answer: D
Rationale: If changes in the FHR are noted, the nurse should check for umbilical cord prolapse. This intervention has priority over the other actions. The danger of a prolapsed cord is increased once membranes have ruptured, especially if the presenting part of the fetus does not fit firmly against the cervix.