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NCLEX RN· Full Length · Free NCLEX RN Exam Practice Questions

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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

Which of the following signs and symptoms experienced by a child with suspected appendicitis should the nurse correctly judge to be unrelated to the transient sympathetic effects caused by the acute abdominal pain?

A. Tachycardia.
B. Chills.
C. Rapid breathing.
D. Dilated pupils.

Expert Explanatory Rationale

Correct Answer: Chills.

Question 2 of 10

The mother of the child diagnosed with Kawasaki disease asks the nurse about the disorder. On which description of this disorder should the nurse base the response to the mother?

A. It is an acquired cell-mediated immunodeficiency disorder.
B. It is a chronic multisystem autoimmune disease characterized by the inflammation of connective tissue.
C. It is also called mucocutaneous lymph node syndrome and is a febrile generalized vasculitis of unknown etiology.
D. It is an inflammatory autoimmune disease that affects the connective tissue of the heart, joints, and subcutaneous tissues.

Expert Explanatory Rationale

Correct Answer: It is also called mucocutaneous lymph node syndrome and is a febrile generalized vasculitis of unknown etiology.

Question 3 of 10

Which of the following serologic tests should the nurse have on the chart before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?

A. Partial thromboplastin time
B. Potassium level
C. Lee-White clotting time
D. Fibrin split product

Expert Explanatory Rationale

Correct Answer: Partial thromboplastin time

Question 4 of 10

The nurse interprets the rhythm strip below from a client's bedside monitor as which of the following?

A. Normal sinus rhythm.
B. Sinus tachycardia.
C. Atrial fibrillation.
D. Ventricular tachycardia.

Expert Explanatory Rationale

Correct Answer: Atrial fibrillation.

Question 5 of 10

The nurse teaches the mother of a toddler who has had cleft palate repair that her child is at risk for developing which of the following in the future?

A. Hearing problems.
B. Speech defect.
C. Chronic sinus infections.
D. Tonsillitis.

Expert Explanatory Rationale

Correct Answer:

Question 6 of 10

When using crutches, the client should be instructed to bear weight primarily on the:

A. Axillae
B. Elbows
C. Upper arms
D. Hands

Expert Explanatory Rationale

Correct Answer: Hands

Question 7 of 10

A client with a diagnosis of gout is prescribed indomethacin. The nurse should instruct the client to:

A. Take the medication with food to reduce stomach upset.
B. Avoid drinking alcohol.
C. Limit fluid intake.
D. Take the medication at bedtime only.

Expert Explanatory Rationale

Correct Answer:

Question 8 of 10

A 17-year-old client has been admitted to the hospital for a biopsy to confirm the diagnosis of bone cancer. The nurse should assess the client for which conditions? Select all that apply.

A. Cough.
B. Dyspnea.
C. Pain.
D. Swelling.
E. Fever.
F. Anorexia.
G. Decreased range of motion.

Expert Explanatory Rationale

Correct Answer:

Question 9 of 10

A mother calls the clinic after her 4-year-old choked on a peanut. The mother reports that she performed abdominal thrusts and the child is breathing normally now. The nurse should tell the mother to:

A. Bring the child to the emergency department to check for airway obstruction.
B. Test the child's urine for blood from internal bleeding.
C. Call the physician if the child begins to sweat and feels dizzy.
D. Observe the child for difficulty breathing because the abdominal thrusts may have caused a pneumothorax.

Expert Explanatory Rationale

Correct Answer: Call the physician if the child begins to sweat and feels dizzy.

Question 10 of 10

The nurse is evaluating a diabetic client's understanding of the signs of hyperglycemia. Which statement by the client reflects an understanding?

A. I may become diaphoretic and faint.
B. I may notice signs of fatigue, dry skin, and increased urination.
C. I need to take an extra diabetic pill if my blood glucose is greater than 300.
D. I should restrict my fluid intake if my blood glucose is greater than 250.

Expert Explanatory Rationale

Correct Answer: I may notice signs of fatigue, dry skin, and increased urination.