NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.
Question 2 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 3 of 5
The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?
Correct Answer: A
Rationale: this group provides ongoing support and educational information; people who attend have common needs and goals focused on managing the clients’ behavior at home
Question 4 of 5
The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:
Correct Answer: C
Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.
Question 5 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.