NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client with AIDS is admitted with a diagnosis of pneumocystis carinii pneumonia. Shortly after his admission, he becomes confused and disoriented. He attempts to pull out his IV and refuses to wear an O2 mask. Based upon his mental status, the priority nursing diagnosis is:
Correct Answer: B
Rationale: The client's confusion and disorientation pose a risk for injury, such as pulling out the IV or falling, making this the priority nursing diagnosis.
Question 2 of 5
A client with otosderosis is scheduled for a stapedectomy. Which finding suggests a complication involving the seventh cranial nerve?
Correct Answer: D
Rationale: The seventh cranial (facial) nerve controls facial movements and sensation; changes in facial sensation post-stapedectomy suggest nerve involvement.
Question 3 of 5
An AIDS patient has developed a fungal Fusarium infection. The nurse anticipates the physician will order
Correct Answer: D
Rationale: Voriconazole is an antifungal effective against Fusarium. Combivir (antiretroviral), famciclovir (antiviral), and ciprofloxacin (antibacterial) are not appropriate.
Question 4 of 5
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
Correct Answer: B
Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication processing.
Question 5 of 5
A client who is to undergo electroconvulsive therapy for severe depression is quite anxious about the treatment and asks the nurse what to expect after treatment. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,C
Rationale: ECT causes short-term confusion (
A), headache/muscle soreness (
B), and transient memory loss (
C). Incontinence (
D) and prolonged hallucinations (E) are not typical.