NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 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 2 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 3 of 5
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:
Correct Answer: C
Rationale: This statement describes a normal assessment finding of the lower extremities. This assessment finding reflects problems caused by venous insufficiency. Decreased or absent pedal pulses reflect a problem caused by arterial insufficiency. The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased circulation.
Question 4 of 5
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
Correct Answer: A
Rationale: Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. Vasodilators are not typically prescribed but are not contraindicated. Diuretics are used with caution to avoid causing hypovolemia. Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
Question 5 of 5
A client has ataxia following a cerebral vascular accident. The nurse should:
Correct Answer: A
Rationale: Ataxia post-stroke causes unsteady gait, increasing fall risk. Supervising ambulation ensures safety. Intake/output, speech therapy, and writing aids are unrelated to ataxia.