NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
A client with a history of breast cancer is admitted with complaints of bone pain. The nurse should give priority to:
Correct Answer: B
Rationale: Bone pain in breast cancer may indicate bone metastasis, a common complication, so monitoring for metastasis is the priority.
Question 2 of 5
The nurse is in the hallway and one of the visitors faints. The nurse should:
Correct Answer: B
Rationale: Sitting the client up defeats the goal of re-establishing cerebral blood flow. Elevating the legs anatomically redirects blood flow to the cerebral area. This strategy is a nice general comfort measure after the victim has regained consciousness. This strategy is not as effective a strategy in helping the client to regain consciousness as elevating the legs.
Question 3 of 5
The nurse is reviewing the results of a sweat test taken from a child with cystic fibrosis. Which finding supports the client's diagnosis?
Correct Answer: B
Rationale: A sweat chloride concentration >60 mEq/L is diagnostic for cystic fibrosis due to defective chloride channels. Potassium levels are not diagnostic, and low chloride is normal.
Question 4 of 5
A 32-year-old male client is a marketing representative. His job requires him to have a tremendous amount of energy during the day. He frequently uses cocaine to sustain his energy level. Lately he has increased his use of cocaine and even experimented with crack cocaine. Realizing he can no longer continue this destructive behavior, he is seeking treatment for cocaine addiction. In planning nursing care for the client's inpatient stay, which expected outcome is most appropriate?
Correct Answer: D
Rationale: This expected outcome is specific as related to attendance, but not specific as related to outcome criteria. Stating activities does not guarantee involvement. This goal may help the recovery process, but post counseling behavior is not addressed. This statement best describes the expected outcome. The client will be attending group therapy sessions and through them he will deal with his feelings.
Question 5 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving radiation therapy. The nurse should teach the client to:
Correct Answer: C
Rationale: Avoiding sun exposure to the radiated area prevents further skin damage and irritation. Lotion, air exposure, and heating pads can worsen skin integrity.