NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that he may not recover normal sexual functioning. The client is very concerned about this and asks the nurse for more information. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Post-prostatectomy, retrograde ejaculation (
A), variable recovery time (
B), avoiding intercourse for 1 month (
D), and anxiety's impact (E) are relevant. Recovery within a month (
C) is incorrect, and prioritizing other intimacy (F) is subjective.
Question 2 of 5
A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?
Correct Answer: D
Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.
Question 3 of 5
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.
Question 4 of 5
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?
Correct Answer: D
Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.
Question 5 of 5
Lidocaine is a medication frequently ordered for the client experiencing:
Correct Answer: B
Rationale: Lidocaine is used to treat ventricular tachycardia by stabilizing cardiac membranes.