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NCLEX RN· Full Length · Mock NCLEX RN Exam

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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

Which of the following is a late sign associated with oral cancer?

A. Warmth
B. Odor
C. Pain
D. Ulcer with flat edges

Expert Explanatory Rationale

Correct Answer: Pain

Question 2 of 10

The mother of a six-year-old with autistic disorder tells the nurse that her son has been much more difficult to care for since the birth of his sister. The best explanation for changes in the child's behavior is:

A. The child did not want a sibling.
B. The child was not adequately prepared for the baby's arrival.
C. The child's daily routine has been upset by the birth of his sister.
D. The child is just trying to get the parent's attention.

Expert Explanatory Rationale

Correct Answer: The child's daily routine has been upset by the birth of his sister.

Question 3 of 10

Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

A. Maintaining a high-humidified environment
B. Furry, soft stuffed animals for play
C. Showering 3-4 times a day
D. Wrapping hands in soft cotton gloves

Expert Explanatory Rationale

Correct Answer: Wrapping hands in soft cotton gloves

Question 4 of 10

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

A. Decreased pulmonary blood flow and cyanosis
B. Increased pressure in the pulmonary veins and pulmonary edema
C. Systemic venous engorgement
D. Increased left ventricular systolic pressures and hypertrophy

Expert Explanatory Rationale

Correct Answer: Increased left ventricular systolic pressures and hypertrophy

Question 5 of 10

A client with a history of atrial flutter is admitted with complaints of dizziness. The nurse should give priority to:

A. Monitoring heart rate
B. Administering pain medication
C. Monitoring respiratory rate
D. Administering diuretics

Expert Explanatory Rationale

Correct Answer: Monitoring heart rate

Question 6 of 10

A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a small-bore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:

A. Aspirate gastric contents
B. Auscultate air insufflated through the tube
C. Obtain a chest x-ray
D. Place the tip of the tube under water and observe for air bubbles

Expert Explanatory Rationale

Correct Answer: Obtain a chest x-ray

Question 7 of 10

A 20-year-old female client delivers a stillborn infant. Following the delivery, an appropriate response by the labor nurse to the question, 'Why did this happen to my baby?' is:

A. It's God's will. It was probably for the best. There was something probably wrong with your baby.'
B. You're young. You can have other children later.'
C. I know your other children will be a great comfort to you.'
D. I can see you're upset. Would you like to see and hold your baby?'

Expert Explanatory Rationale

Correct Answer: I can see you're upset. Would you like to see and hold your baby?'

Question 8 of 10

Which of the following is not a step in primary assessment of a client presenting to the emergency department after being involved in a motor vehicle accident?

A. Assessing and maintaining a patent airway
B. Obtaining vital signs
C. Using the Glasgow Coma Scale to check responsiveness
D. Controlling bleeding

Expert Explanatory Rationale

Correct Answer: Obtaining vital signs

Question 9 of 10

Which one of the following situations represents a maturational crisis for the family?

A. A four-year-old entering nursery school
B. Development of preeclampsia during pregnancy
C. Loss of employment and health benefits
D. Hospitalization of a grandfather with a stroke

Expert Explanatory Rationale

Correct Answer: A four-year-old entering nursery school

Question 10 of 10

The nurse is performing an assessment on a client with a suspected diagnosis of cataracts. The chief complaint is likely to be:

A. Eye pain with movement
B. Cloudy vision
C. Flashing lights
D. Eye redness

Expert Explanatory Rationale

Correct Answer: Cloudy vision