NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client in intensive care with a diagnosis of traumatic brain injury. The client is found to be restless, complains of extreme nausea, and is weak on the left arm and leg. Which is the best response by the nurse?
Correct Answer: B
Rationale: Elevating the head to 30 degrees reduces intracranial pressure in traumatic brain injury, addressing symptoms like nausea and restlessness.
Question 2 of 5
Which of the following findings would be expected in the infant with biliary atresia?
Correct Answer: C
Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.
Question 3 of 5
A client is upset that the physician has refused to order a stronger pain medication for the client and berates the nurse, calling the nurse 'worthless and stupid' when the nurse brings the prescribed medication. Which of the following ego defense mechanisms is the client exhibiting?
Correct Answer: C
Rationale: Displacement (
C) involves redirecting anger from the physician to the nurse. Compensation (
A), reaction formationCDATA(
B), and regression (
D) do not fit this behavior.
Question 4 of 5
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
Correct Answer: C
Rationale: Aspirin increases bleeding risk when taken with warfarin, indicating a need for further teaching to avoid this combination.
Question 5 of 5
The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.