NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of peptic ulcer disease. When monitoring the client for possible gastrointestinal perforation, the nurse identifies the importance of what assessment data?
Correct Answer: D
Rationale: Sudden, severe abdominal pain is a sign of perforation. When perforation occurs, the pulse will more likely be weak and rapid. The nurse may be unable to hear bowel sounds at all. Positive guaiac stool results indicate the presence of bleeding but are not necessarily indicative of perforation.
Question 2 of 5
A client with a history of epilepsy is prescribed carbamazepine (Tegretol). Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: A rash may indicate a serious hypersensitivity reaction to carbamazepine, such as Stevens-Johnson syndrome, requiring immediate reporting.
Question 3 of 5
A client has received a dose of dimenhydrinate. The nurse determines that the medication is effective when the client obtains relief of which problem?
Correct Answer: D
Rationale: Dimenhydrinate is used to treat and prevent the symptoms of dizziness, vertigo, and nausea and vomiting that accompany motion sickness. None of the other options are associated with the described symptoms.
Question 4 of 5
The nurse is assessing a client with suspected Bell's palsy. Which finding supports this diagnosis?
Correct Answer: A
Rationale: Unilateral facial weakness is the primary symptom of Bell's palsy, caused by facial nerve inflammation or compression.
Question 5 of 5
A client with metastatic cancer of the liver is concerned about his progress. Which of the following nursing interventions is most appropriate?
Correct Answer: D
Rationale: For metastatic liver cancer, palliative care focusing on symptom relief and comfort is most appropriate, as transplantation or tumor shrinkage may not be feasible.