NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a spinal fusion. The client complains of back pain. The nurse should:
Correct Answer: D
Rationale: Back pain post-spinal fusion may indicate complications like hardware failure or infection, requiring immediate physician notification. Compresses, rest, and acetaminophen are insufficient.
Question 2 of 5
A client with a history of a thyroidectomy is receiving Synthroid (levothyroxine). The nurse should teach the client to:
Correct Answer: D
Rationale: Palpitations may indicate levothyroxine overdose, requiring medical attention. It’s taken in the morning, iodine foods are not an issue, and weight loss (not gain) is more common.
Question 3 of 5
Which is true regarding the administration of antacids?
Correct Answer: C
Rationale: Antacids can bind to other medications, reducing their absorption, so they should be administered at least 1–2 hours apart from other drugs. Timing with meals depends on the condition, and they are not given with every meal/snack or to enhance other drug absorption.
Question 4 of 5
An 82-year-old former restaurant owner walks to the nursing station and states, 'I have to go. The restaurant opens at 11 am.' Which response by the nurse is the most appropriate?
Correct Answer: C
Rationale: This response cuts off communication with the client. It does not address her feelings. Reality orientation frequently does not work alone. Feelings must be addressed. Telling a client to calm down is frequently ineffective. Reminiscence is used here to reorient and recall past pleasant events. Talking about the restaurant will allay anxiety. This response may confirm to the client that she indeed does still own a restaurant, buying into her confusion. Her feelings and anxiety require nursing intervention.
Question 5 of 5
A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:
Correct Answer: B
Rationale: There are no indications that the client's thoughts reflect special powers or talents characteristic of grandiosity. The client's thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C,
D) The client is not demonstrating a sensory experience.