NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which finding is associated with Tay Sachs disease?
Correct Answer: B
Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.
Question 2 of 5
The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:
Correct Answer: B
Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.
Question 3 of 5
The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?
Correct Answer: C
Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.
Question 4 of 5
A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:
Correct Answer: C
Rationale: The left lateral position improves uterine perfusion and reduces pressure on the vena cava in clients with pregnancy-induced hypertension.
Question 5 of 5
During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?
Correct Answer: B
Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.