NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.
Question 2 of 5
The nurse is caring for a client who recently experienced a massive stroke. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: Returning to work full time immediately after discharge may not be feasible due to the care needs of a client post-massive stroke, indicating a need for further education about caregiving demands.
Question 3 of 5
The mother of a 1-year-old wants to know when she should begin toilettraining her child. The nurse's response is based on the knowledge that sufficient sphincter control for toilet training is present by:
Correct Answer: B
Rationale: Sufficient sphincter control for toilet training typically develops between 18-24 months, when children gain the physical and cognitive readiness for training.
Question 4 of 5
A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:
Correct Answer: C
Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.
Question 5 of 5
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.