NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse understands that the diagnosis of oral cancer is confirmed with:
Correct Answer: A
Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.
Question 2 of 5
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct Answer: D
Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.
Question 3 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: unexpected until 6 months of age
Question 4 of 5
A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?
Correct Answer: B
Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding
Question 5 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.