NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
When the nurse checks the fundus of a client on the first postpartum day,she notes that the fundus is firm level with the umbilicus and displaced to the side. The next action the nurse should take is to:
Correct Answer: A
Rationale: A displaced fundus on the first postpartum day is often due to bladder distention which pushes the uterus aside. Checking for bladder distention (e.g. by palpation or encouraging voiding) is the next step to correct the displacement.
Question 2 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 3 of 5
The initial treatment for a client with a liquid chemical burn injury is to:
Correct Answer: B
Rationale: The use of large amounts of water to flush the area is recommended for chemical burns to dilute and remove the chemical. Neutralizing solutions may extend the burn, calcium chloride is not indicated, and lanolin is not beneficial initially.
Question 4 of 5
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is most likely responsible for the client's symptoms?
Correct Answer: D
Rationale: Whole-grain cereal, high in fiber and seeds, can irritate diverticulitis, causing pain, fever, and diarrhea. Low-fiber foods like potatoes, carrots, and fish are less likely to trigger symptoms.
Question 5 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale:
To elicit the biceps reflex the nurse places a thumb on the biceps tendon in the antecubital space and taps it with a reflex hammer. The other methods describe techniques for eliciting different reflexes (e.g. triceps or patellar).