NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
Correct Answer: C
Rationale: The bleeding ulcer can be life-threatening, emphasizing the need to address the physical threat posed by the psychophysiological disorder.
Question 2 of 5
An adult client is admitted to the orthopedic unit with a history of thalassemia. What clinical manifestations does the nurse expect the client to exhibit?
Correct Answer: A, B, C
Rationale: Thalassemia causes splenomegaly (
A) from hemolysis, mild anemia (
B), and jaundice (
C) from bilirubin buildup. Headaches (
D) and epistaxis (E) are less common.
Question 3 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 4 of 5
The nurse is caring for a client with an endemic goiter. The nurse recognizes that the client's condition is related to:
Correct Answer: A
Rationale: Endemic goiter results from iodine deficiency, often in areas with iodine-depleted soil, leading to insufficient thyroid hormone production.
Question 5 of 5
The client is admitted with a diagnosis of pericarditis. Which assessment finding is most characteristic?
Correct Answer: A
Rationale: Pericarditis causes chest pain that is typically relieved by sitting forward, reducing pressure on the inflamed pericardium. Bradycardia, edema, and muffled sounds are less specific or indicate complications like tamponade.