NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?
Correct Answer: A
Rationale: Dried beans are high in purines, which can exacerbate gout by increasing uric acid levels, so they should be avoided on a low-purine diet.
Question 2 of 5
The nurse is caring for a client with a history of chronic kidney disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Chronic kidney disease reduces erythropoietin production, causing anemia, a common complication.
Question 3 of 5
A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:
Correct Answer: A
Rationale: A child with a subdural hematoma has increased ICP. Crying may significantly increase this pressure.
Question 4 of 5
A client has ataxia following a cerebral vascular accident. The nurse should:
Correct Answer: A
Rationale: Ataxia post-stroke causes unsteady gait, increasing fall risk. Supervising ambulation ensures safety. Intake/output, speech therapy, and writing aids are unrelated to ataxia.
Question 5 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.