NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?

Correct Answer: D

Rationale: Myasthenia gravis is characterized by muscle weakness that worsens with activity and improves with rest, typically more pronounced at the end of the day.

Question 2 of 5

The nurse receives an order for blood cultures and sensitivity for a client. Which statement is correct concerning this test?

Correct Answer: B

Rationale: Blood culture results typically take 48–72 hours for organism identification. Stopping antibiotics or culturing catheter tips is not standard practice.

Question 3 of 5

The nurse is observing a student nurse administering ear drops to a 2-year-old. Which observation by the nurse would indicate correct technique?

Correct Answer: C

Rationale: For children under 3, pulling the pinna down and back straightens the ear canal for proper ear drop administration.

Question 4 of 5

A pediatric nurse would be concerned by which of the following sets of vital signs?

Correct Answer: B

Rationale: 12-month-old vitals (BP 65/55, RR 50, HR 130) show low BP (normal ~90/50) and high RR (normal 20-30), suggesting distress. Other options are age-appropriate.

Question 5 of 5

The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:

Correct Answer: A

Rationale: Maintaining a patent airway is critical post-oral surgery due to the risk of swelling or bleeding obstructing the airway.

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