NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:
Correct Answer: C
Rationale: Prior to amniocentesis, the abdomen is scanned by ultrasound to locate the placenta, thus reducing the possibility of penetrating it with the spinal needle used to obtain amniotic fluid.
Question 2 of 5
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:
Correct Answer: B
Rationale: The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. Encouragement toward independence does promote increased feelings of self-worth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.
Question 3 of 5
A client with a history of gout is admitted with complaints of joint pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anti-inflammatories (e.g., NSAIDs) relieve joint pain and inflammation in gout flares.
Question 4 of 5
The nurse is assessing a client with suspected hypoglycemia. Which finding is most consistent with this condition?
Correct Answer: A
Rationale: Hypoglycemia causes sympathetic activation, leading to tremors and sweating as the body attempts to raise glucose levels. Chest pain, fever, and bradycardia are not typical.
Question 5 of 5
A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Giving the solid food when the infant is hungriest will increase the likelihood that he will eat. The more solid food he takes, the less milk he will desire, ensuring a balanced diet.