NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client is receiving patient-controlled analgesia following surgery. Which statement by a family member indicates that the nurse needs to do further teaching?
Correct Answer: D
Rationale: Only the client should press the PCA button to prevent overdosing. Other statements reflect correct understanding.
Question 2 of 5
Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?
Correct Answer: C
Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.
Question 3 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 4 of 5
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
Correct Answer: C
Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.
Question 5 of 5
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Correct Answer: D
Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.