NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 10-year-old client who states, 'I am really good at soccer because I practice every day.' According to Erikson's eight stages of development, which psychosocial crisis does this statement reflect?
Correct Answer: B
Rationale: A 10-year-old’s pride in skill development reflects industry vs. inferiority, typical of school-age children striving for competence.
Question 2 of 5
The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:
Correct Answer: B
Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.
Question 3 of 5
A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to
Correct Answer: C
Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.
Question 4 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 5 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Demerol (opioid) and Phenergan (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation beyond the sum of their individual effects.