NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 26-year-old client is in a treatment center for alprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for 'his nerves.' Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:
Correct Answer: B
Rationale: This client response does not address stress reduction techniques. Verbal response focuses only on the problem. Exercise or physical activity is a common strategy or coping technique used to reduce stress and anxiety. Verbalizing effects of substance abuse on the body may help with insight and break through denial, but it is not a strategy to reduce anxiety. Remaining substance-free does indicate motivation to change lifestyle of substance abuse or dependence, and it is not a stress reduction strategy in itself.
Question 2 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 3 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.
Question 4 of 5
The nurse is caring for a client with a history of a fractured rib. The client complains of sharp chest pain. The nurse should:
Correct Answer: D
Rationale: Sharp chest pain with a fractured rib may indicate complications like pneumothorax, requiring immediate physician notification. Compresses, breathing, and ibuprofen are insufficient.
Question 5 of 5
The nurse is caring for a client with a history of a fractured pelvis. The client is in pelvic traction. The nurse should:
Correct Answer: D
Rationale: Monitoring for infection at pin sites is critical in pelvic traction to prevent osteomyelitis. Turning is limited, weights must hang freely, and lotion is unnecessary.