NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of Alzheimer’s disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Alzheimer’s disease causes progressive memory impairment due to neuronal degeneration, a primary symptom of the condition.
Question 2 of 5
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her to:
Correct Answer: D
Rationale: Limiting activities requiring close vision will not alleviate the discomfort of double vision. Frequent naps may be comforting, but they will not prevent double vision. Artificial tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia. An eye patch over either eye will eliminate the effects of double vision during the time the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex.
Question 3 of 5
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:
Correct Answer: A
Rationale: The client is demonstrating dyskinesia, which is involuntary muscular activity, such as tic, spasm, or myoclonus. Akathisia is regular rhythmic movements usually of the lower limbs, such as constant motor restlessness. Echopraxia is mimicking the movements of another person. Echolalia is mimicking the speech of another person.
Question 4 of 5
The nurse is caring for a client with a diagnosis of gestational trophoblastic disease. Which intervention is most appropriate?
Correct Answer: A
Rationale: Gestational trophoblastic disease requires monitoring hCG levels to assess for resolution or progression to malignancy (e.g. choriocarcinoma).
Tocolytics fetal monitoring and vaginal delivery are not indicated as there is no viable fetus.
Question 5 of 5
The nurse is caring for a client with a history of a hip fracture who is in Buck’s traction. The nurse should:
Correct Answer: C
Rationale: In Buck’s traction, weights must hang freely off the floor to maintain proper traction force. Turning is limited, traction is not removed, and lotion is unnecessary.