NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
Which action by the home health nurse indicates a knowledge of the needs of an elderly client?
Correct Answer: D
Rationale: Fall prevention is a critical need for elderly clients due to risks of injury from reduced mobility or balance. Hospice teaching is premature, high-pitched speech may not aid hearing, and fluid restriction can cause dehydration.
Question 2 of 5
The nurse is caring for a client with a history of Ménière’s disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Ménière’s disease affects the inner ear, causing vertigo, tinnitus, and hearing loss due to fluid imbalance.
Question 3 of 5
While caring for a client in the second stage of labor, the nurse notices a pattern of early decelerations. The nurse should:
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression during labor, and require only documentation, as they do not indicate fetal distress.
Question 4 of 5
The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
Correct Answer: B
Rationale: Pernicious anemia, caused by vitamin B12 deficiency, leads to neurological symptoms like numbness and tingling due to nerve demyelination. The other symptoms are common in various anemias.
Question 5 of 5
Prior to an amniocentesis, a fetal ultrasound is done in order to:
Correct Answer: C
Rationale: Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus.