NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

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Question 1 of 5

On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty. He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?

Correct Answer: B

Rationale: Acknowledging the anxiety and channeling it into some positive activity, such as a unit tour, is therapeutic and helps reduce anxiety by providing distraction and orientation.

Question 2 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.

Question 3 of 5

The nurse is caring for a client with a history of chronic kidney disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Chronic kidney disease reduces erythropoietin production, causing anemia, a common complication.

Question 4 of 5

The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?

Correct Answer: B

Rationale: Providing routine catheter care is within the scope of a nursing assistant, as it involves basic hygiene tasks, unlike the other options, which require advanced assessment or monitoring.

Question 5 of 5

The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

Correct Answer: D

Rationale: Oatmeal and fresh fruit provide fiber and bulk, which help prevent constipation. The other options lack sufficient fiber.

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