NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, 'My doctor is in love with me and wants to marry me.' This client is using which of the following defense mechanisms?
Correct Answer: B
Rationale: Displacement involves transferring feelings to a more acceptable object. Projection involves attributing one's thoughts or feelings to another person. Reaction formation involves transforming an unacceptable impulse into the opposite behavior. Suppression involves the intentional exclusion of unpleasant thoughts or experiences.
Question 2 of 5
The nurse is caring for a client with a history of a seizure disorder who is receiving Valproic acid (Depakote). The nurse should monitor the client for:
Correct Answer: A
Rationale: Valproic acid can cause hepatotoxicity, requiring monitoring of liver enzymes. Hypotension, hyperglycemia, and weight loss are not primary side effects.
Question 3 of 5
A client with Hodgkin's lymphoma is receiving Platinol (cisplatin). To help prevent nephrotoxicity, the nurse should:
Correct Answer: B
Rationale: Cisplatin is nephrotoxic, and adequate hydration helps dilute the drug and protect the kidneys, reducing the risk of renal damage.
Question 4 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.
Question 5 of 5
An adult client is admitted to the orthopedic unit with a history of thalassemia. What clinical manifestations does the nurse expect the client to exhibit?
Correct Answer: A, B, C
Rationale: Thalassemia causes splenomegaly (
A) from hemolysis, mild anemia (
B), and jaundice (
C) from bilirubin buildup. Headaches (
D) and epistaxis (E) are less common.