NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a stroke who has dysphagia. The nurse should:
Correct Answer: B
Rationale: Positioning upright during meals reduces aspiration risk in dysphagia post-stroke. Thickened liquids, slow feeding, and avoiding straws are also recommended.
Question 2 of 5
The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:
Correct Answer: A
Rationale: Expressive aphasia (Broca’s aphasia) impairs the ability to speak and write due to damage in the frontal lobe’s speech center. Comprehension and motor activity are less affected.
Question 3 of 5
Diagnostic assessment findings for an infant with possible coarctation of the aorta would include:
Correct Answer: D
Rationale: S1 and S2 in an infant with coarctation of the aorta are usually normal. S3 and S4 do not exist with this diagnosis. Either no murmur will be heard or a systolic murmur from an associated cardiac defect will be heard along the left upper sternal border. A diastolic murmur is not associated with coarctation of the aorta. Pulse pressure differences of >20 mm Hg exist between the upper extremities and the lower extremities. It is important to evaluate the upper and lower extremities with the appropriate-sized cuffs. Femoral and pedal pulses will be diminished or absent in infants with coarctation of the aorta.
Question 4 of 5
Which toys are suited to the developmental skills of the 2-3 year old?
Correct Answer: A, C, E
Rationale: For 2-3-year-olds, soap bubbles (
A), riding toys (
C), and talking toys (E) match gross motor and imaginative play skills. Skates (
B) and bicycles (
D) require advanced coordination.
Question 5 of 5
A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected. By 2 weeks' postinjury, his neck has been surgically stabilized, and he has been transferred from the intensive care unit. A potential life-threatening complication the nurse monitors the client for is:
Correct Answer: A
Rationale: Autonomic dysreflexia, a life-threatening exaggerated sympathetic response, can occur in spinal cord injuries above T6, causing severe hypertension.