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NCLEX RN Practice Tests Questions

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Question 1 of 5

The nurse is assessing the reflexes of a full-term newborn infant. Which of the following is true regarding newborn reflexes?

Correct Answer: D

Rationale: The Moro reflex, present at birth, typically disappears by 6 months. Babinski persists until ~2 years, fencing (tonic neck) until 4-6 months, and stepping until 1-2 months.

Question 2 of 5

A woman has undergone a mastectomy of her right breast and has been brought to the recovery unit. The nurse explains that the client should

Correct Answer: A

Rationale: Elevating the arm on a pillow reduces lymphedema risk post-mastectomy by promoting lymphatic drainage.

Question 3 of 5

The nurse is obtaining a history on a 74-year-old client. Which statement made by the client would alert the nurse to a possible fluid and electrolyte imbalance?

Correct Answer: B

Rationale: Frequent laxative use can cause fluid and electrolyte losses (e.g., potassium, sodium), leading to imbalances, unlike the other statements.

Question 4 of 5

A client receiving high doses of hydromorphone (Dilaudid®) develops acute respiratory depression with a drop in blood pressure. Which of the following treatments is most indicated?

Correct Answer: A

Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Naproxen (
B), flumazenil (
C), and nortriptyline (
D) are not appropriate.

Question 5 of 5

A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

Correct Answer: B

Rationale: Hydration is the highest priority in sickle cell crisis to prevent further sickling of red blood cells and to promote blood flow, reducing the risk of complications.

Similar Questions

A client who has undergone a thyroidectomy complains of numbness, tingling, and stiffness in her hands, feet, and face as well as muscle tremors, spasmodic muscle contractions, and anxiety during the postoperative period. Which laboratory tests does the nurse anticipate that the physician will request?
The nurse is caring for an adolescent with a 5-year history of bulimia. A common clinical finding in the client with bulimia is:
The nurse is conducting an aphasia assessment of a client who has suffered a stroke. Which of the following observations should the nurse include in the assessment? Select all that apply.
The nurse is assessing the laboratory results of a client scheduled to receive phenytoin (Dilantin). The Dilantin level, drawn 2 hours ago, is 30 mcg/mL. What is the appropriate nursing action?
A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?

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