NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:
Correct Answer: D
Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.
Question 2 of 5
The nurse is caring for a client with acquired immunodeficiency syndrome who has oral candidiasis. The nurse should clean the client's mouth using:
Correct Answer: B
Rationale: A soft gauze pad is gentle and effective for cleaning the mouth in oral candidiasis without causing trauma.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of migraine headaches about trigger avoidance. Which of the following should the client avoid?
Correct Answer: B
Rationale: aged cheeses contain tyramine, a common migraine trigger
Question 4 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) presents with weight gain, lethargy, slowed speech, and decreased respiratory rate due to metabolic slowing.
Question 5 of 5
The nurse is conducting a physical examination of a client's abdomen. Place the examination techniques listed below (Roman numerals) in the correct sequence, from first to last.
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: Abdominal exam sequence: Inspection (III) first, then auscultation (IV) before percussion (I) and palpation (II) to avoid altering bowel sounds.