NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be:
Correct Answer: B
Rationale: This outcome criterion is inadequate because the term 'accepts' is not directly measurable. This outcome criterion is directly measurable because specific goal-related verbalizations can be heard and verified by the nurse. 'Improved perception of body image' is not directly measurable and is therefore open to many interpretations. Although long-term goals for the anorexic client should focus on increased self-esteem, this outcome criterion (as stated) does not include specific indicators or behaviors for which to observe.
Question 2 of 5
A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?
Correct Answer: D
Rationale: Pain in the legs could be indicative of doing too much too quickly, but not of worsening heart failure. The client should be cautioned to increase his activities slowly. Thirst, weight loss, and frequent urination are not indicative of heart failure. The client should report these symptoms to his physician. Drowsiness and lethargy are not indicative of worsening heart failure. The client should report these symptoms to his physician. All of these symptoms indicate a worsening cardiac condition possibly associated with too much activity. The client's activity level should be evaluated.
Question 3 of 5
The nurse is caring for a client with a history of peptic ulcer disease. Which medication should the nurse anticipate being prescribed?
Correct Answer: D
Rationale: Peptic ulcer disease is treated with proton pump inhibitors like omeprazole and H2 blockers like cimetidine to reduce acid production and promote healing. Ibuprofen, an NSAID, can worsen ulcers and is avoided.
Question 4 of 5
The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:
Correct Answer: C
Rationale: An O2 saturation of 68% indicates severe hypoxemia requiring immediate oxygen administration (e.g. via mask) to restore oxygenation. Elevating the head rechecking later or assessing heart rate are secondary to correcting hypoxia.
Question 5 of 5
A client with a history of testicular cancer is admitted with complaints of back pain. The nurse should give priority to:
Correct Answer: A
Rationale: Back pain in testicular cancer may indicate metastasis to retroperitoneal lymph nodes, so monitoring for metastasis is the priority.