NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?
Correct Answer: D
Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.
Question 2 of 5
While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:
Correct Answer: A
Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.
Question 3 of 5
Which client can best be assigned to the newly licensed nurse?
Correct Answer: D
Rationale: The client with diverticulitis is typically stable and requires less complex care compared to clients receiving chemotherapy, post-coronary bypass, or post-TURP, which involve specialized monitoring and interventions. Assigning this client to a newly licensed nurse ensures manageable care responsibilities.
Question 4 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.
Question 5 of 5
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.