NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of glaucoma. The nurse should expect the client to have:
Correct Answer: A
Rationale: Glaucoma causes increased intraocular pressure, damaging the optic nerve and leading to peripheral vision loss, a hallmark symptom.
Question 2 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to tissue necrosis, which may present as minute blackened areas on the toes, indicating severe ischemia.
Question 3 of 5
The client is admitted with a suspected bowel obstruction. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: A
Rationale: An abdominal X-ray is the initial test to confirm bowel obstruction, showing air-fluid levels or dilated loops of bowel. Barium enema and colonoscopy are contraindicated due to perforation risk, and ultrasound is less specific.
Question 4 of 5
A 32-year-old mother of two was brought to the hospital by her husband. He reported that his wife could no longer manage the house and children. She does not sleep and talks day and night. She has purchased some very expensive clothes. The nurse noted that the client speaks rapidly and changes the subject irrationally. This is an example of:
Correct Answer: A
Rationale: Rapidly moving from one topic to another without following any logical sequence is called flight of ideas, characteristic of manic behavior.
Question 5 of 5
Painless vaginal bleeding in the last trimester may be caused by:
Correct Answer: C
Rationale: Placenta previa causes painless vaginal bleeding due to the low-lying placenta separating from the uterine wall.