NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?
Correct Answer: A
Rationale: to implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program
Question 2 of 5
Which type of leukemia is more common in older adults?
Correct Answer: C
Rationale: Chronic lymphocytic leukemia (CLL) is most common in older adults, typically diagnosed in those over 60, due to its indolent nature and prevalence in this age group.
Question 3 of 5
The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture uses:
Correct Answer: C
Rationale: Acupuncture uses needles, which pose an infection risk in immunocompromised AIDS patients, requiring further discussion.
Question 4 of 5
A client has been on prolonged bedrest following surgery. The nurse notes that the patient has pain in the right calf on palpation with dorsiflexion of the ankle. Which of the following causes does the nurse suspect?
Correct Answer: D
Rationale: Calf pain with dorsiflexion (Homan's sign) suggests deep vein thrombosis (
D), common after prolonged bedrest. Arthritis (
A), muscle strain (
B), and compartment syndrome (
C) present differently.
Question 5 of 5
A burn client is in the acute phase of burn care. The nurse assesses jugular vein distention, edema, urine output of 20 cc in 2 hours, and crackles on auscultation. Which order would the nurse anticipate from the physician?
Correct Answer: A
Rationale: Signs of fluid overload (JVD, edema, low urine output, crackles) suggest the need for furosemide (Lasix) to reduce excess fluid and prevent pulmonary edema.