NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
Correct Answer: B
Rationale: A facial stroke may impair chewing and swallowing. Soft foods like split pea soup mashed potatoes and pudding are easier to swallow and safer for a client with dysphagia. The other options include harder or chewier foods that pose a risk.
Question 2 of 5
The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:
Correct Answer: B
Rationale: These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. These nursing actions are necessary prior to the cesarean section, but not immediately necessary百2.5.3.2 immediately necessary to maintain physiological equilibrium. These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.
Question 3 of 5
The nurse is preparing to administer a dose of lorazepam (Ativan) for anxiety. Which assessment is most important before administration?
Correct Answer: B
Rationale: Lorazepam, a benzodiazepine, can cause respiratory depression, so assessing respiratory rate is critical before administration. Other vital signs are monitored but are less specific.
Question 4 of 5
A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:
Correct Answer: D
Rationale: A full bladder is the most common cause of uterine displacement; having the client void addresses this before further interventions.
Question 5 of 5
The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:
Correct Answer: B
Rationale: Discomfort with ankle dorsiflexion is not expected with meningitis. Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. Discomfort with wrist flexion is not expected with meningitis. Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.