NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 2 of 5
The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?
Correct Answer: C
Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.
Question 3 of 5
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Correct Answer: D
Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.
Question 4 of 5
The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:
Correct Answer: C
Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.
Question 5 of 5
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
Correct Answer: B
Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.