NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
Correct Answer: B
Rationale: Asking 'why' questions may put the child on the defensive and may not elicit useful information, especially in a young child who may struggle to articulate reasons. This approach is open-ended and encourages the child to describe her experiences in a non-confrontational way, which may reveal underlying issues while building trust. This question is too specific and may feel confrontational, potentially causing the child to shut down. While encouraging expression of feelings is appropriate, it is less specific and may not help uncover the specific event or change that led to her refusal to attend.
Question 2 of 5
The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:
Correct Answer: A
Rationale: Novolin is a short-acting insulin. (B,
C) NPH and Lente are intermediate-acting insulins. Protamine zinc insulin is a long-acting insulin preparation.
Question 3 of 5
A client with a history of a total hip replacement is being discharged. The nurse should teach the client to avoid:
Correct Answer: B
Rationale: Crossing legs after a total hip replacement risks hip dislocation by adducting the femur. Sleeping, walking, or lying prone (if tolerated) are generally safe with proper precautions.
Question 4 of 5
A client with a history of a brain tumor is scheduled for a craniotomy. The nurse should:
Correct Answer: B
Rationale: Antibiotics are often given preoperatively for a craniotomy to prevent infection. Shaving is per protocol, flat positioning may increase ICP, and exercises are taught post-op.
Question 5 of 5
A client with a history of a stroke is being taught to use a communication board. The nurse should:
Correct Answer: C
Rationale: Placing the communication board on the client’s strong side facilitates use, especially with hemiplegia. Loud speech, complex sentences, and limiting gestures are unhelpful.