NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A 22-year-old woman has just been diagnosed with myasthenia gravis. She asks the nurse what causes this disease. The most accurate response from the nurse is
Correct Answer: C
Rationale: Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, impairing muscle contraction.
Question 2 of 5
A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
Correct Answer: A
Rationale: High-calorie, portable foods accommodate the restlessness and distractibility of mania, ensuring adequate nutrition.
Question 3 of 5
The nurse is assigned to work with the parents of a retarded child. Which of the following should the nurse include in the care plan for the parents?
Correct Answer: D
Rationale: assessment, this will help the nurse to know where the family is in regard to grieving, coping, etc.
Question 4 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Soap or lotion can remove radiation site markings or irritate the skin, so they should be avoided to ensure accurate treatment.
Question 5 of 5
The nurse notes that a post-operative client's respirations have dropped from 14 to 6 breaths per minute. The nurse administers Narcan (naloxone) per standing order. Following administration of the medication, the nurse should assess the client for:
Correct Answer: A
Rationale: After administering naloxone, the nurse should assess for pupillary changes, as reversal of opioid effects can cause sympathetic stimulation, affecting pupil size.