NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a fracture of a long bone. Which of the following assessments would be the earliest symptom of a fat embolism?
Correct Answer: A
Rationale: Respiratory distress is the earliest symptom of fat embolism syndrome, as emboli obstruct pulmonary circulation, leading to hypoxia.
Question 2 of 5
A client with a history of pancreatitis is admitted with abdominal pain. The nurse should expect which of the following laboratory findings?
Correct Answer: A
Rationale: Elevated amylase and lipase are hallmark laboratory findings in pancreatitis due to pancreatic enzyme release.
Question 3 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should explain that this medication works by:
Correct Answer: B
Rationale: Ranitidine, an H2-receptor blocker, reduces gastric acid secretion, helping to heal peptic ulcers.
Question 4 of 5
Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms
Correct Answer: B
Rationale: The correct sequence of crisis phases typically follows: 1) General Adaptation Syndrome (initial stress response), 2) Detachment and disorientation (emotional response), 3) Trying alternative coping methods (problem-solving attempts), and 4) Use of psychological ego defense mechanisms (if coping fails). This reflects the progression of a crisis response.
Question 5 of 5
A nurse is having difficulty establishing a relationship with an aggressive client. What strategy will most likely improve the relationship?
Correct Answer: D
Rationale: Seeking colleague assistance enhances self-awareness and communication skills, improving the therapeutic relationship with an aggressive client.