NCLEX Questions, NCLEX RN Nursing Exam Questions, NCLEX-RN Q

Extract:

Question 1 of 5

The nurse is caring for a client with a suspected stroke. Which assessment finding is most concerning?

Correct Answer: B

Rationale: Unilateral facial droop is a classic sign of stroke, indicating neurological deficit and requiring urgent evaluation. Headache (
A), dizziness (
C), and fatigue (
D) are less specific.

Question 2 of 5

The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:

A. Immediate treatment of mild PIH includes the administration of a variety of medications B. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation C. Self-discipline is required to control caloric intake throughout the pregnancy D. The client may not recognize the early symptoms of PIH

Correct Answer: D

Rationale: Mild PIH is not treated with medications. Emotional stress is not the cause of blood pressure elevation in PIH. Excessive caloric intake is not the cause of weight gain in PIH. The client most frequently is not aware of the signs and symptoms in mild PIH.

Question 3 of 5

The nurse is explaining to an adult client with an ulcer diagnosis about the drug esomeprazole (Nexium). Which side effect(s) will the nurse want to include in the discussion?

A. Headache B. Diarrhea C. Flushing D. Dizziness E. Nausea

Correct Answer: A, B, D, E

Rationale: Esomeprazole side effects include headache (
A), diarrhea (
B), dizziness (
D), and nausea (E). Flushing (
C) is not a common side effect.

Question 4 of 5

Which of the following statements applies to the care of the client hospitalized with influenza?

A. The nurse should wear an N-95 mask when caring for the client. B. The client may cohort with another client hospitalized with the same diagnosis. C. Equipment used in the client's care should remain in the room until the client is discharged. D. The door to the client's room may remain open to the hallway. E. The nurse should wear a mask when direct care of the client is required.

Correct Answer: B, C, E

Rationale: Influenza requires droplet precautions: cohorting with same diagnosis (
B), keeping equipment in the room (
C), and wearing a mask for direct care (E). N-95 masks (
A) are for airborne diseases (e.g., T
B). The door should remain closed (
D) to limit droplet spread.

Question 5 of 5

A 10-year-old boy has been diagnosed with Legg-CalvÃ© Perthes disease. Which of the client's responses would indicate compliance during initial therapy?

A. Drinking large amounts of milk B. Not bearing weight on affected extremity C. Walking short distances 3 times/day D. Putting self on weight reduction diet

Correct Answer: B

Rationale: This condition causes aseptic necrosis of the head of the femur in the acetabulum. Drinking large quantities of milk at this time cannot hasten recovery. The aim of treatment is to keep the head of the femur in the acetabulum. Nonweight-bearing is essential. Activity causes microfractures of the epiphysis. In addition to nonweight-bearing, clients are often placed on bedrest, which helps to reduce inflammation. Later, active motion is encouraged. Weight is not generally an issue with this disease. Slipped femoral capital epiphysis, which is most frequently observed in obese pubescent children, usually requires a weight reduction diet.