NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client is upset that the physician has refused to order a stronger pain medication for the client and berates the nurse, calling the nurse 'worthless and stupid' when the nurse brings the prescribed medication. Which of the following ego defense mechanisms is the client exhibiting?
Correct Answer: C
Rationale: Displacement (
C) involves redirecting anger from the physician to the nurse. Compensation (
A), reaction formationCDATA(
B), and regression (
D) do not fit this behavior.
Question 2 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure
Question 3 of 5
The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?
Correct Answer: B
Rationale: Assisting with bathing and grooming is within the nursing assistant's scope, supporting a client with depression in maintaining personal hygiene.
Question 4 of 5
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:
Correct Answer: D
Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.
Question 5 of 5
The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: D
Rationale: should eat at regular time; remain in the seclusion room for client’s safety