NCLEX-RN
NCLEX RN Practice Questions
Question 1 of 5
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?
Correct Answer: D
Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.
Question 2 of 5
Raynaud's disease is most commonly found in
Correct Answer: D
Rationale: Raynaud’s disease is most common in young women (ages 15-40) due to hormonal and vascular factors.
Question 3 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.
Question 4 of 5
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
Correct Answer: B
Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.
Question 5 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.