NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Ques

Extract:

Question 1 of 5

A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include:

Correct Answer: D

Rationale: Monitoring the right lung for an increase in rales is essential to detect early signs of fluid accumulation or infection in the remaining lung.

Question 2 of 5

A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

A. Establish a structured environment with routine tasks and activities. Also, serve meals at the same time each day. B. Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from starving. C. Do frequent room checks to be sure that the client is not hiding food or throwing it away. D. Listen attentively and participate in in-depth discussions about food, because these actions may encourage her to eat.

Correct Answer: A

Rationale: Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self-starvation. Distraction does not focus on the client's need for control. Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.

Question 3 of 5

A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal heart sounds are best auscultated just:

A. Below the umbilicus toward left side of mother's abdomen B. Below the umbilicus toward right side of mother's abdomen C. At the umbilicus D. Above the umbilicus to the left side of mother's abdomen

Correct Answer: A

Rationale: In LOA, the fetus's back is on the mother's left anterior side, so fetal heart sounds are best heard below the umbilicus on the left.

Question 4 of 5

The nurse is caring for a client with a diagnosis of gestational hypertension. Which symptom is most characteristic?

A. Hypertension B. Proteinuria C. Fetal macrosomia D. Painful vaginal bleeding

Correct Answer: A

Rationale: Hypertension (BP ≥140/90) is the defining symptom of gestational hypertension. Proteinuria indicates preeclampsia and fetal macrosomia or painful bleeding are unrelated.

Question 5 of 5

A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who reported bizarre behavior. Except for going to work, she spends all her time in her room and expresses concern over neighbors spying on her. She has fears of the telephone being 'bugged.' Her diagnosis is schizophrenia. One nurse per shift is assigned to work with the client. The primary reason for this plan would be to:

A. Protect her from suicide B. Enable her to develop trust C. Supervise her medication regimen D. Involve her in groups for social interaction

Correct Answer: B

Rationale: The client is suspicious and needs help to develop trust, which is basic to her improvement. Consistent nursing assignment fosters a therapeutic relationship.