NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
A client has undergone a mastectomy. The nurse determines that the client is having the most difficulty adjusting to the loss of the breast when which behavior is observed?
Correct Answer: A
Rationale: The client demonstrates the most difficult adjustment to the loss if she refuses to look at the dressing. This indicates that the client is not ready or willing to begin to acknowledge and cope with the surgery. Requiring help with sponge bathing is expected after major surgery, limiting visitors is also an expected behavior soon after surgery, and dressing in her own nightgown indicates that the client is retaining her self-esteem.
Question 2 of 5
A mother calls the clinic after her 4-year-old choked on a peanut. The mother reports that she performed abdominal thrusts and the child is breathing normally now. The nurse should tell the mother to:
Correct Answer: C
Rationale: After choking, monitoring for symptoms like sweating or dizziness is crucial, as they may indicate complications like aspiration or trauma requiring medical attention.
Question 3 of 5
Which interventions should the nurse use to assist the client with grandiose delusions? Select all that apply.
Correct Answer: A,B,C
Rationale:
To manage grandiose delusions, the nurse should accept the client without reinforcing the delusion, focus on the underlying feelings, and redirect to reality-based topics. Confronting beliefs or limiting interaction to reality-based moments can escalate agitation or alienate the client.
Question 4 of 5
When preparing to draw up 8 units of a short-acting insulin and 20 units of a long-acting insulin in the same syringe, the nurse should:
Correct Answer: C
Rationale: Either insulin can be drawn up first, as long as air is injected into both vials in the reverse order and clear (short-acting) is drawn before cloudy (long-acting).
Question 5 of 5
The nurse is caring for a client with a history of hypothyroidism who is prescribed levothyroxine (Synthroid). Which of the following symptoms indicates that the dose may be too high?
Correct Answer: B
Rationale: Tachycardia is a sign of hyperthyroidism, indicating a possible overdose of levothyroxine.