NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a myocardial infarction. The nurse recognizes that the most common complication in the client following a myocardial infarction is:
Correct Answer: B
Rationale: Cardiac dysrhythmias are the most common complication post-MI due to ischemic damage to the conduction system. Hypertrophy develops later, and hyperkalemia is less common.
Question 2 of 5
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:
Correct Answer: B
Rationale: The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. Encouragement toward independence does promote increased feelings of self-worth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.
Question 3 of 5
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, 'What does salt have to do with high blood pressure?' the nurse's initial response would be:
Correct Answer: B
Rationale: Excess salt causes fluid retention, increasing blood volume and thus blood pressure.
Question 4 of 5
The nurse is caring for a client with a history of bipolar disorder. The nurse should give priority to:
Correct Answer: A
Rationale: Monitoring mood stability is critical in bipolar disorder to assess for manic or depressive episodes.
Question 5 of 5
The nurse is assessing a client with suspected hypoglycemia. Which finding is most consistent with this condition?
Correct Answer: A
Rationale: Hypoglycemia causes sympathetic activation, leading to tremors and sweating as the body attempts to raise glucose levels. Chest pain, fever, and bradycardia are not typical.