NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 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 2 of 5
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:
Correct Answer: B
Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.
Question 3 of 5
The hospital conducts an information and education session on anthrax. The nurse learns the methods of anthrax transmission include which of the following? Select all that apply.
Correct Answer: A,C,E
Rationale: Anthrax is transmitted via cutaneous (skin contact), inhalation (spores), and gastrointestinal (contaminated food) routes. Ocular and fomite transmission are not primary modes.
Question 4 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 5 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.