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
A 20-year-old female has a prescription for Sumycin (tetracycline). While teaching the client how to take her medicine, the nurse learns that the client is also taking an oral contraceptive. Which instruction should be included in the teaching plan?
Correct Answer: D
Rationale: Tetracyclines can reduce the effectiveness of oral contraceptives by altering gut flora, affecting estrogen metabolism. This increases the risk of unintended pregnancy, requiring backup contraception.
Question 3 of 5
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:
Correct Answer: B
Rationale: The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. Encouragement toward independence does promote increased feelings of self-worth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.
Question 4 of 5
A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:
Correct Answer: D
Rationale: NG tube suction removes acids, leading to metabolic alkalosis, as indicated by the elevated pH (7.53).
Question 5 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Gestational trophoblastic disease (e.g. molar pregnancy) causes markedly elevated hCG levels due to abnormal trophoblastic proliferation. Fetal heart tones are absent uterine size is larger and hypotension is not typical.