NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A client with suspected leukemia is to undergo a bone marrow aspiration. The nurse plans to include which statement in the teaching session?
Correct Answer: B
Rationale: Bone marrow aspiration can cause pain or discomfort during needle insertion and aspiration. Informing the client prepares them for the procedure and helps manage expectations.
Question 2 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 3 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.
Question 4 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.
Question 5 of 5
A client is admitted to the emergency room with complaints of substernal chest pain radiating to the left jaw. Which ECG finding is suggestive of acute myocardial infarction?
Correct Answer: B
Rationale: ST segment changes, such as elevation or depression, are characteristic ECG findings in acute myocardial infarction.