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
The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?
Correct Answer: A
Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.
Question 3 of 5
The nurse recognizes which of the following as a dual diagnosis?
Correct Answer: C
Rationale: Dual diagnosis refers to a mental health disorder and a substance use disorder. Bipolar disorder and alcoholism fit this definition.
Question 4 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels