NCLEX-RN
NCLEX RN Questions with Detailed Explanations Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following symptoms is most likely to be present?
Correct Answer: C
Rationale: Tremors are a common symptom of hyperthyroidism due to increased metabolic rate and nervous system stimulation.
Question 2 of 5
Which of the following signs and symptoms is an early indication that a client has developed hypocalcemia?
Correct Answer: A
Rationale: Tingling in the fingers is an early sign of hypocalcemia due to neuromuscular irritability. Depressed reflexes, dysrhythmias, and memory changes are later or less specific.
Question 3 of 5
An infusion of lidocaine hydrochloride (Xylocaine) is running at 30 mL/hour. The dilution is 1,000 mg/250 mL. What dosage is the client receiving per minute?
Correct Answer: 2 mg/minute.
Rationale: Calculate: 1,000 mg in 250 mL = 4 mg/mL. At 30 mL/hour, that's 30 mL × 4 mg/mL = 120 mg/hour. Per minute: 120 mg ÷ 60 min = 2 mg/minute.
Question 4 of 5
While assessing the psychosocial aspects of a primigravid client at 30 weeks' gestation, which of the following feelings are expected?
Correct Answer: C
Rationale: Ambivalence is common in pregnancy, reflecting mixed emotions about impending motherhood and life changes.
Question 5 of 5
A 6-year-old client is diagnosed with attention deficit hyperactivity disorder (ADHD). When asking this client to complete a task, what techniques should the nurse use to communicate most effectively with him?
Correct Answer: A
Rationale: Clear, simple instructions with eye contact and repetition enhance communication for a child with ADHD, and praise reinforces positive behavior.