NCLEX NCLEX-RN
NCLEX RN Exam Review Answers
1. Which question should the nurse ask the parents of a child suspected of having glomerulonephritis?
- A. Did your child fall off a bike onto the handlebars?
- B. Has the child had persistent nausea and vomiting?
- C. Has the child been itching or had a rash anytime in the last week?
- D. Has the child had a sore throat or a throat infection in the last few weeks?
Correct answer: Has the child had a sore throat or a throat infection in the last few weeks?
Rationale: Glomerulonephritis refers to a group of kidney disorders characterized by inflammatory injury in the glomerulus. Group A β-hemolytic streptococcal infection is a common cause of glomerulonephritis. Children with glomerulonephritis often develop symptoms after a throat infection caused by streptococcal bacteria. Therefore, asking about a sore throat or throat infection in the last few weeks is crucial to assess the possible link to glomerulonephritis. Choices A, B, and C are not directly associated with the pathophysiology of glomerulonephritis. Asking about falling off a bike, nausea and vomiting, or itching and rash do not provide relevant information for assessing glomerulonephritis in this context.
2. The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate?
- A. Unequal leg length
- B. Limited adduction
- C. Diminished femoral pulses
- D. Symmetrical gluteal folds
Correct answer: Unequal leg length
Rationale: The correct answer is 'Unequal leg length.' Shortening of a leg is a common sign of developmental dysplasia of the hip. Limited adduction (Choice B) may be present but is less specific to developmental dysplasia of the hip. Diminished femoral pulses (Choice C) are not typically associated with developmental dysplasia of the hip. Symmetrical gluteal folds (Choice D) are a normal finding and would not be expected in a patient with developmental dysplasia of the hip.
3. When printing out an EKG, a nurse notices that the QRS complexes are extremely small. What should be the next step?
- A. Alert the physician immediately as this is a sign of impending cardiac arrest.
- B. Check to see that all leads are attached and rerun the EKG.
- C. Increase the sensitivity control to 20 mm deflection.
- D. Decrease the run speed to 50.
Correct answer: Increase the sensitivity control to 20 mm deflection.
Rationale: Increasing the sensitivity control to 20 mm deflection will double the sensitivity, allowing for better observation of the small QRS complexes. This step is crucial in obtaining a clearer EKG reading. Choice A is incorrect because small QRS complexes do not necessarily indicate impending cardiac arrest; it's more likely a technical issue. Choice B is not the first step to take when small QRS complexes are observed; it's important to adjust the settings first. Choice D is incorrect because decreasing the run speed to 50 is not the appropriate action for this situation; adjusting the sensitivity control is more relevant to improve the visualization of the complexes.
4. What behavior is expected of members of Alcoholics Anonymous (AA)?
- A. Speaking at and participating in weekly meetings
- B. Promising to attend at least 12 meetings yearly
- C. Maintaining controlled drinking after 6 months
- D. Acknowledging an inability to control the drinking
Correct answer: Acknowledging an inability to control the drinking
Rationale: A fundamental aspect of Alcoholics Anonymous (AA) is the acceptance of one's inability to control their drinking behavior. This acknowledgment is crucial for individuals seeking recovery from alcohol abuse issues. While speaking at and participating in meetings is encouraged, it is not a strict requirement for AA members. Similarly, there is no specific mandate on the number of meetings to attend yearly, as long as the individual finds the support they need. Maintaining controlled drinking after 6 months is not aligned with AA principles, as the group emphasizes complete abstinence from alcohol to support long-term sobriety.
5. During a general survey of a patient, which finding is considered normal?
- A. Body mass index (BMI) of 20.
- B. When standing, the patient’s base is narrow.
- C. The patient appears older than their stated age.
- D. Arm span (fingertip to fingertip) is greater than the height.
Correct answer: Body mass index (BMI) of 20.
Rationale: A body mass index (BMI) of 20 is considered normal as the range for a normal BMI is between 19-24. When standing, a patient's base should be wide for stability and proper weight distribution. An older appearance than the stated age may indicate a history of chronic illness or chronic alcoholism. In a general survey, the patient's arm span (fingertip to fingertip) should approximately equal the patient's height. An arm span greater than the height may suggest Marfan syndrome. Therefore, the correct choice is a normal BMI of 20, which falls within the healthy range. Choices B, C, and D all describe abnormal findings that may indicate underlying health conditions or syndromes.
Similar Questions
Access More Features
NCLEX Basic
- 5,000 Questions with answers
- Comprehensive NCLEX coverage
- 30 days access @ $69.99
NCLEX Basic
- 5,000 Questions and answers
- Comprehensive NCLEX Coverage
- 90 days access @ $69.99