NCLEX RN· Full Length · Mock NCLEX RN Exam
Full Question & Rationale Repository
Showing all 10 practice questions with expert explanatory rationales.
Which of the following is a late sign associated with oral cancer?
Expert Explanatory Rationale
Correct Answer: Pain
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:
Expert Explanatory Rationale
Correct Answer: The child's daily routine has been upset by the birth of his sister.
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:
Expert Explanatory Rationale
Correct Answer: Wrapping hands in soft cotton gloves
In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:
Expert Explanatory Rationale
Correct Answer: Increased left ventricular systolic pressures and hypertrophy
A client with a history of atrial flutter is admitted with complaints of dizziness. The nurse should give priority to:
Expert Explanatory Rationale
Correct Answer: Monitoring heart rate
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:
Expert Explanatory Rationale
Correct Answer: Obtain a chest x-ray
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:
Expert Explanatory Rationale
Correct Answer: I can see you're upset. Would you like to see and hold your baby?'
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?
Expert Explanatory Rationale
Correct Answer: Obtaining vital signs
Which one of the following situations represents a maturational crisis for the family?
Expert Explanatory Rationale
Correct Answer: A four-year-old entering nursery school
The nurse is performing an assessment on a client with a suspected diagnosis of cataracts. The chief complaint is likely to be:
Expert Explanatory Rationale
Correct Answer: Cloudy vision