NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:
Correct Answer: B
Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.
Question 2 of 5
The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:
Correct Answer: B
Rationale: Discomfort with ankle dorsiflexion is not expected with meningitis. Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. Discomfort with wrist flexion is not expected with meningitis. Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.
Question 3 of 5
A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive disorder. She is obsessed with her appearance. She will not leave her room until her hair, clothes, and makeup are perfect. She always dresses immaculately. Recently, she expressed disgust over her appearance after she gained 5 lb. After observing a marked weight loss over a 2-week period, her mother suspects that she is experiencing bulimia. She eats everything on her plate, then runs to the bathroom. In interviewing the teenager, she discusses in great detail all of the events leading to her bulimia, but not her feelings. What defense mechanism is she using?
Correct Answer: B
Rationale: Dissociation is separating a group of mental processes from consciousness or identity, such as multiple personalities. That is not evident in this situation. Intellectualization is excessive use of reasoning, logic, or words usually without experiencing associated feelings. This is the defense mechanism that this client is using. Rationalization is giving a socially acceptable reason for behavior rather than the actual reason. She is discussing events, not reasons. Displacement is a shift of emotion associated with an anxiety-producing person, object, or situation to a less threatening object.
Question 4 of 5
The physician has ordered a homocysteine blood level on a client.
Correct Answer: A
Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.
Question 5 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.