NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?
Correct Answer: B
Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.
Question 2 of 5
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:
Correct Answer: B
Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.
Question 3 of 5
A nurse reviewed a client's progress in smoking cessation, praising the client for being successful but suggesting the client might stop having coffee in the morning since that caused an urge to smoke. Following this session, the client appeared upset and complained that the nurse believed she was doing poorly because she wanted a cigarette with her morning coffee. Which type of cognitive distortion is the client exhibiting?
Correct Answer: B
Rationale: Mental filter (
B) involves focusing only on the negative (nurse's suggestion) and ignoring praise, leading to the client's misinterpretation.
Question 4 of 5
According to Maslow's hierarchy of needs, 'lack of prejudice' falls under which level of human need fulfillment?
Correct Answer: B
Rationale: Lack of prejudice reflects self-actualization, Maslow’s highest level, where individuals achieve personal growth and acceptance of others.
Question 5 of 5
A new graduate nurse completes her first full shift with her preceptor. It was a long, overwhelming day and the new nurse takes a deep breath and says to herself, 'You can do this! Nursing will be a challenge but you are up for it and tomorrow is a new day.' This type of communication is
Correct Answer: A
Rationale: Intrapersonal communication is self-talk, as the nurse reflects and motivates herself.