NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?
Correct Answer: C
Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.
Question 2 of 5
The nurse is caring for a Muslim client who is recovering from an automobile accident and is unable to cleanse herself after a bowel movement. Which of the following should the nurse do to show respect for the woman's cultural and religious beliefs?
Correct Answer: B
Rationale: In Islamic culture, hygiene after defecation is important, and female clients may prefer assistance from female family members (
B) to maintain modesty. The left hand (
A) is traditionally used by the client, not the nurse. Gloves (
C) are standard but not cultural. The husband (
D) may not be appropriate due to modesty.
Question 3 of 5
A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.
Correct Answer: A,C
Rationale: Flat affect and hallucinations are hallmark symptoms of schizophrenia. Fast speech or feeling energized may occur but are not specific to this diagnosis.
Question 4 of 5
The client is having fetal heart rates of 100-110 beats per minute during the contractions. The first action the nurse should take is to:
Correct Answer: B
Rationale: Turning the client to her side improves uteroplacental perfusion, addressing fetal bradycardia during contractions.
Question 5 of 5
The nurse is performing an admission for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?
Correct Answer: A
Rationale: Clopidogrel, an antiplatelet drug, increases bleeding risk. Epistaxis (nosebleed) is a significant adverse effect requiring attention.