NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of bipolar disorder. The nurse should give priority to:
Correct Answer: A
Rationale: Monitoring mood stability is critical in bipolar disorder to assess for manic or depressive episodes.
Question 2 of 5
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are suggestive of immersion in hot water, inconsistent with a simple fall, raising suspicion of abuse.
Question 3 of 5
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
Correct Answer: D
Rationale: This answer is incorrect. The client will work hard at the activity instead of enjoying it. This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.
Question 4 of 5
A client's behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:
Correct Answer: B
Rationale: Consistent limit setting will help the client to know what is acceptable behavior, addressing the disruptive actions effectively.
Question 5 of 5
A client with a history of leukemia is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Leukemia impairs bone marrow function, reducing red blood cell production and causing anemia, which leads to fatigue.