NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
An 82-year-old former restaurant owner walks to the nursing station and states, 'I have to go. The restaurant opens at 11 am.' Which response by the nurse is the most appropriate?
Correct Answer: C
Rationale: This response cuts off communication with the client. It does not address her feelings. Reality orientation frequently does not work alone. Feelings must be addressed. Telling a client to calm down is frequently ineffective. Reminiscence is used here to reorient and recall past pleasant events. Talking about the restaurant will allay anxiety. This response may confirm to the client that she indeed does still own a restaurant, buying into her confusion. Her feelings and anxiety require nursing intervention.
Question 2 of 5
A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
Correct Answer: A
Rationale: Bed rest, elevation, and splinting reduce bleeding and pain in hemarthrosis, stabilizing the joint.
Question 3 of 5
A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:
Correct Answer: B
Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.
Question 4 of 5
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:
Correct Answer: C
Rationale: Anterior wall myocardial infarction increases the risk of left ventricular failure, leading to pulmonary edema, characterized by weakness, shortness of breath, and crackles.
Question 5 of 5
The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:
Correct Answer: A
Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.