NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new colostomy about appliance care. Which instruction should be included?
Correct Answer: B
Rationale: Emptying the colostomy pouch when one-third to one-half full prevents leakage and skin irritation. Changing every 12 hours is excessive, soap may leave residue, and lotion can interfere with adhesion.
Question 2 of 5
Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?
Correct Answer: C
Rationale: Cheyne-Stokes respiratory pattern is most often associated with increased intracranial pressure secondary to changes in pressure in the cerebral and cerebellar areas.
Question 3 of 5
Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?
Correct Answer: B
Rationale: Meningitis at six months can cause brain injury, contributing to cerebral palsy, a condition often linked to perinatal or early postnatal neurological damage. Full-term birth, physiologic jaundice, and sore throats are not directly related.
Question 4 of 5
A client with a history of stroke is admitted with complaints of dysphagia. The nurse should give priority to:
Correct Answer: A
Rationale: Dysphagia post-stroke increases aspiration risk, so assessing swallowing ability is critical to prevent complications like pneumonia.
Question 5 of 5
A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby's condition. The nurse knows that the pediatrician has discussed the baby's condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?
Correct Answer: B
Rationale: The nurse should call the orthopedist after assessing the mother's knowledge. The nurse must first assess the knowledge of the parent before attempting any explanation. The nurse should assess the mother's knowledge of the baby's condition as the first priority. This answer is correct, but the priority is B.