NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted to the hospital with seizures. The client has jerking of the right arm and twitching of the face, but is alert and aware of the seizure. This behavior is characteristic of which type of seizure?
Correct Answer: C
Rationale: Simple partial seizures involve focal symptoms (e.g., arm jerking, facial twitching) without loss of consciousness. Absence (
A) causes staring, complex partial (
B) impairs consciousness, and tonic-clonic (
D) involves generalized convulsions.
Question 2 of 5
The nurse is caring for a client with a history of fibromyalgia. The nurse should expect the client to have:
Correct Answer: A
Rationale: Fibromyalgia causes widespread musculoskeletal pain, often accompanied by fatigue and tender points.
Question 3 of 5
A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?
Correct Answer: B
Rationale: These delusions are related to the belief that an individual has an incurable illness. These delusions are related to feelings of self-importance and uniqueness. These delusions are related to feelings of being conspired against. These delusions are related to denial of self-existence.
Question 4 of 5
A client with metastatic cancer of the lung has just been told the prognosis by the oncologist. The nurse hears the client state, "I don't believe the doctor; I think he has me confused with another patient."
Correct Answer: A
Rationale: The client's statement reflects denial, the first stage of Kubler-Ross' model, where patients refuse to accept a terminal prognosis. Anger (
B), depression (
C), and bargaining (
D) involve different emotional responses.
Question 5 of 5
Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:
Correct Answer: B
Rationale: While the client is still restrained, but after violent behavior has subsided, a therapeutic bridge is built. This alliance encourages dialogue between nurse and client, allowing the client to determine causative factors, feelings prior to loss of control, and adaptive alternatives to violence.