NCLEX-RN
NCLEX RN Practice Questions 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 suggests caregiver role strain due to the ongoing stress of managing the client's schizophrenia symptoms.
Question 2 of 5
The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?
Correct Answer: C
Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.
Question 3 of 5
The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?
Correct Answer: B
Rationale: Disalignment is a hallmark sign of a hip fracture due to bone displacement.
Question 4 of 5
A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:
Correct Answer: A
Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.
Question 5 of 5
A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?
Correct Answer: A
Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce motor symptoms like intractable tremors in Parkinson's disease. It does not directly affect dopamine or serotonin production, and medication is often still required post-surgery.