NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
Primary nursing diagnoses for the antisocial client are:
Correct Answer: B
Rationale: This answer is incorrect. Perception is not altered because the client is not psychotic. This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. This answer is incorrect. Altered communication processes do not characterize this client. The antisocial person communicates well and tends to have a charming personality. This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.
Question 2 of 5
The nurse is caring for a client with a history of Raynaud’s disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Raynaud’s disease causes vasospasms, leading to color changes (white, blue, red) in the fingers triggered by cold or stress.
Question 3 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is to receive 10 units of NPH insulin and 5 units of regular insulin in the same syringe. Which action is correct?
Correct Answer: A
Rationale:
To prevent contamination, draw up regular (clear) insulin first, then NPH (cloudy). Mixing in a vial (
C) is incorrect, and separate injections (
D) are unnecessary.
Question 4 of 5
Before giving methergine postpartum, the nurse should assess the client for:
Correct Answer: B
Rationale: Methergine is given to contract the uterus and to control postpartal hemorrhage; therefore, lochial flow should decrease. Methergine may elevate the blood pressure. A client with an elevated blood pressure should not receive methergine, but she could be given oxytocin if necessary. Flushing is not a side effect of methergine. Afterpains are increased with methergine usage. The client should be informed that this is a normal response.
Question 5 of 5
The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?
Correct Answer: D
Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching to recognize thrombosis symptoms (e.g., pain, swelling) is critical. Avoiding crowds (
A) is for neutropenia, elevating the bed (
B) is for reflux, and socks/gloves (
C) are for Raynaud’s.