NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:
Correct Answer: A
Rationale: The client is demonstrating dyskinesia, which is involuntary muscular activity, such as tic, spasm, or myoclonus. Akathisia is regular rhythmic movements usually of the lower limbs, such as constant motor restlessness. Echopraxia is mimicking the movements of another person. Echolalia is mimicking the speech of another person.
Question 2 of 5
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
Correct Answer: B
Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication. Rhyming, irrelevant details, or neologisms are different symptoms.
Question 3 of 5
A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping metformin abruptly (
C) can worsen glycemic control, indicating a need for further teaching. Taking with meals (
A), monitoring sugar (
B), and reporting muscle pain (
D) are correct.
Question 4 of 5
A behavioral modification program is recommended by the multidisciplinary team working with a 15-year-old client with anorexia nervosa. A nursing plan of care based on this modality would include:
Correct Answer: B
Rationale: This answer is incorrect. Role playing is based on learning but is not based on the behavioral modification model. This answer is correct. The behavioral modification model is based on negative and positive reinforcers to change behavior. This answer is incorrect. Verbal catharsis is not an intervention based on behavioral modification. This answer is incorrect. Although an acceptable nursing intervention, it is not based on behavioral modification.
Question 5 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Neck stiffness (nuchal rigidity) is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation. Fever, photophobia, and headache are common but less specific without neck stiffness.