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
The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:
Correct Answer: C
Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.
Question 3 of 5
The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
Correct Answer: A
Rationale: A low-fat, high-fiber diet with fruits reduces CRC risk. Screening begins at 45 for average risk, with colonoscopy every 10 years or fecal occult blood test annually.
Question 4 of 5
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Correct Answer: C
Rationale: RSS 3 indicates a client who responds quickly to commands only, matching the description, per the Ramsay Sedation Scale.
Question 5 of 5
The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?
Correct Answer: A
Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.