NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of anaphylaxis to peanuts. Which precaution is most important?
Correct Answer: A
Rationale: An epinephrine auto-injector is critical for immediate treatment of anaphylaxis, a life-threatening allergic reaction. Private rooms, antihistamines, and monitoring are secondary to ensuring rapid emergency response.
Question 2 of 5
The nurse is teaching a client with a history of migraines about trigger avoidance. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Chocolate is a common migraine trigger, potentially causing vasoconstriction or neurotransmitter changes, so it should be avoided.
Question 3 of 5
One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse-Friderichsen syndrome, which is:
Correct Answer: A
Rationale: Waterhouse-Friderichsen syndrome is peripheral circulatory collapse, which may result in extensive and diffuse intravascular coagulation and thrombocytopenia resulting in death. Syndrome of inappropriate antidiuretic hormone is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. Cerebral edema resulting in hydrocephalus is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. Auditory nerve damage resulting in permanent hearing loss is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome.
Question 4 of 5
A five-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?
Correct Answer: D
Rationale: Constant swallowing post-tonsillectomy suggests bleeding, as the child may be swallowing blood from the surgical site, a serious complication requiring immediate attention. Decreased appetite and low-grade fever are expected, and chest congestion is unrelated.
Question 5 of 5
Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?
Correct Answer: C
Rationale: This activity is too competitive, and the manic client might become abusive toward the other clients. During mania, the client's attention span is too short to accomplish this task. This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. This activity requires the use of fine motor skills and is very tedious.