NCLEX Questions, NCLEX-RN Exam Questions, NCLEX-RN Questions

Extract:

Question 1 of 5

A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:

Correct Answer: B

Rationale: The mother's statement reflects caregiver role strain due to the chronic stress of managing a child with paranoid schizophrenia, impacting the parents' ability to cope.

Question 2 of 5

After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:

A. Hamburger B. Hot dog C. Potato salad D. Baked beans

Correct Answer: A

Rationale: Undercooked hamburger is a common source of E. coli, particularly E. coli O157:H7, which can contaminate ground beef.

Question 3 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

A. A client with a supratentorial tumor awaiting surgery B. A client admitted with a suspected subdural hematoma C. A client recently diagnosed with akinetic seizures D. A client transferring to the neuro rehabilitation unit

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment.

Question 4 of 5

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

A. Pulse rate of 50-70 bpm by her third postpartum day B. Diuresis by her second or third postpartum day C. Vaginal discharge or rubra, serosa, then rubra D. Diaphoresis by her third postpartum day

Correct Answer: C

Rationale: Bradycardia is an expected assessment during the postpartum period. Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. A return of rubra after the serosa period may indicate a postpartal complication. Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.

Question 5 of 5

A 32-year-old mother of two was brought to the hospital by her husband. He reported that his wife could no longer manage the house and children. She does not sleep and talks day and night. She has purchased some very expensive clothes. The nurse noted that the client speaks rapidly and changes the subject irrationally. This is an example of:

A. Flight of ideas B. Delusions C. Hallucinations D. Echolalia

Correct Answer: A

Rationale: Rapidly moving from one topic to another without following any logical sequence is called flight of ideas, characteristic of manic behavior.