NCLEX Questions, NCLEX RN Nursing Exam Questions, NCLEX-RN Q

Extract:

Question 1 of 5

A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?

Correct Answer: A

Rationale: The client verbalizes that he is responsible for compliance and keeping the treatment team member informed of progress. This behavior puts him at the lowest risk for relapse. Noncompliance is a major cause of relapse. This statement reflects lack of responsibility for his own health maintenance. This statement reflects lack of insight into the importance of compliance. This statement reflects no insight into his illness or his responsibility in health maintenance.

Question 2 of 5

A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:

A. Airway obstruction B. Communication impairment C. Pain management D. Infection risk

Correct Answer: C

Rationale: Pain management is a priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy due to the surgical incision and tissue trauma, which can cause significant discomfort. Effective pain control is essential to promote recovery and patient comfort.

Question 3 of 5

The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?

A. Avoid large crowds and exposure to people who are ill. B. Keep the head of the bed elevated at night. C. Wear socks and gloves when going outside. D. Recognize clinical manifestations of thrombosis.

Correct Answer: D

Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching to recognize thrombosis symptoms (e.g., pain, swelling) is critical. Avoiding crowds (
A) is for neutropenia, elevating the bed (
B) is for reflux, and socks/gloves (
C) are for Raynaud’s.

Question 4 of 5

The client is admitted with a possible myocardial infarction. The nurse would anticipate an order from the physician for which laboratory test?

A. Creatine kinase B. Ammonia C. Myoglobin D. Troponin T E. Gamma-glutamyl transferase F. Bilirubin

Correct Answer: A, C, D

Rationale: Creatine kinase (
A), myoglobin (
C), and troponin T (
D) are cardiac biomarkers elevated in myocardial infarction. Ammonia (
B), gamma-glutamyl transferase (E), and bilirubin (F) are unrelated to acute cardiac events.

Question 5 of 5

A client is medically cleared for ECT and is tentatively scheduled for six treatments over a 2-week period. Her husband asks, 'Isn't that a lot?' The nurse's best response is:

A. Yes, that does seem like a lot.' B. You'll have to talk to the doctor about that. The physician knows what's best for the client.' C. Six to 10 treatments are common. Are you concerned about permanent effects?' D. Don't worry. Some clients have lots more than that.'

Correct Answer: C

Rationale: The most common range for affective disorders is 6-10 treatments. This response confirms and reinforces the physician's plan for treatment. It also opens communication with the husband to identify underlying fears and knowledge deficits.