NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A 30-year-old client has a history of several recent traumatic experiences. She presents at the physician's office with a complaint of blindness. Physical exam and diagnostic testing reveal no organic cause. The nurse recognizes this as:
Correct Answer: D
Rationale: Conversion disorder involves sensory or motor symptoms, like blindness, without an organic cause, often linked to psychological stress.
Question 2 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving chemotherapy. The nurse should monitor the client for:
Correct Answer: A
Rationale: Chemotherapy commonly causes nausea and vomiting, requiring monitoring and antiemetic therapy. Hypertension, weight gain, and fever are less immediate concerns.
Question 3 of 5
Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
Correct Answer: A
Rationale: Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake. This goal is not specific enough or related to the loss of appetite. This goal is not possible at this time based on his illness. This goal is helpful, but alone will not address his loss of appetite.
Question 4 of 5
A client with a history of a burn injury is receiving Silvadene (silver sulfadiazine). The nurse should monitor the client for:
Correct Answer: A
Rationale: Silver sulfadiazine can cause neutropenia, requiring monitoring of white blood cell counts. Hyperkalemia, hypoglycemia, and hypertension are not typical side effects.
Question 5 of 5
A post-lung surgery client is placed on a chest tube drainage system. When explaining to the family how the system works, the nurse states that the water-seal bottle of a three-bottle chest drainage system serves which of the following purposes?
Correct Answer: D
Rationale: The purpose of the water-seal bottle in any chest drainage setup is to allow air out of the chest, but not back in. This negative pressure promotes lung expansion.