NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone, an antipsychotic, is used to control acute manic symptoms like agitation, while lithium stabilizes mood over time, addressing the immediate behavioral excitement.
Question 2 of 5
A two-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?
Correct Answer: A
Rationale: Currant jelly stools (bloody, mucousy) are classic in intussusception due to intestinal ischemia. Vomiting and a palpable abdominal mass may occur, but stools and flank masses are less specific.
Question 3 of 5
The nurse is caring for a client with a diagnosis of placenta accreta. Which intervention is most appropriate?
Correct Answer: A
Rationale: Placenta accreta often prevents placental separation leading to severe hemorrhage during delivery which may necessitate hysterectomy.
Tocolytics fetal monitoring and antibiotics are not primary interventions for this condition.
Question 4 of 5
A five-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?
Correct Answer: D
Rationale: Constant swallowing post-tonsillectomy suggests bleeding, as the child may be swallowing blood from the surgical site, a serious complication requiring immediate attention. Decreased appetite and low-grade fever are expected, and chest congestion is unrelated.
Question 5 of 5
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?
Correct Answer: A
Rationale: Broiled fish and rice are excellent protein sources, aiding in restoring albumin levels for tissue repair. The other options are lower in protein.