NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is educating the caregiver of a client with dysphagia, due to a stroke, in ways to ensure safety and avoid aspiration during meals. Which information should be included?
Correct Answer: A, B, D
Rationale:
To prevent aspiration: sit upright (
A), place food on unaffected side (
B), and swallow one bite at a time (
D). Solid foods (
C) may increase risk; thickened liquids (E) are safer.
Question 2 of 5
An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?
Correct Answer: D
Rationale: There is no evidence of pain in infants with pyloric stenosis whether eating or not. There are both good appetite and feeding habits in these children. Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.
Question 3 of 5
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency where reduced placental blood flow during contractions causes fetal hypoxia. Cord compression causes variable decelerations head compression causes early decelerations and sleep does not cause decelerations.
Question 4 of 5
A priority nursing diagnosis for a child following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy the priority is risk for injury/aspiration due to potential bleeding or swelling that could obstruct the airway. Nutrition communication and urinary elimination are secondary concerns.
Question 5 of 5
The nurse is performing an admission assessment on a client with a history of glaucoma. Which medication is the client most likely taking?
Correct Answer: B
Rationale: Timolol, a beta-blocker eye drop, is commonly used to reduce intraocular pressure in glaucoma. Lasix, Norvasc, and Zestril treat other conditions (edema, hypertension).