NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN

Extract:

Question 1 of 5

The nurse is reviewing the lab reports on several clients. Which one should be reported to the physician immediately?

Correct Answer: D

Rationale: A white cell count of 2,200 cu/mm indicates severe leukopenia, a serious side effect of Dilantin, requiring immediate reporting.

Question 2 of 5

An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

A. The client's knowledge of the signs of preterm labor B. The client's feelings about the pregnancy C. Whether the client was using a method of birth control D. The client's thought about future children

Correct Answer: B

Rationale: Assessing the client's feelings about the pregnancy is critical at 10 weeks to tailor education and support to her emotional needs.

Question 3 of 5

A 22-year-old woman has just been diagnosed with myasthenia gravis. She asks the nurse what causes this disease. The most accurate response from the nurse is

A. This is a disease caused by a chromosomal defect in utero. It is a structural abnormality in the chromosome that causes nerve cells in your body to become inflamed and not function properly.' B. This is an autoimmune disease in which antibodies attack the muscles and muscle atrophy occurs. The muscles will become weak and begin to waste.' C. This is an autoimmune disease in which antibodies destroy acetylcholine at the neuromuscular junction. This prevents your muscles from contracting normally.' D. This is a hereditary condition caused by a recessive gene. It causes nervous tissue to be broken down, and damage occurs to the brain and spinal cord.'

Correct Answer: C

Rationale: Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, impairing muscle contraction.

Question 4 of 5

The school nurse assessed and referred a 14-year-old with scoliosis. An 18Â° curvature of the spine was diagnosed. Which treatment plan would the nurse expect?

A. Application of a Milwaukee brace B. Electrical stimulation to the outward side of the curve C. Re-evaluation, with no treatment at this time D. Surgical realignment of the spine

Correct Answer: C

Rationale: An 18Â° scoliosis curvature is mild and typically monitored with re-evaluation, as bracing or surgery is reserved for curvatures >25Â° or >40Â°, respectively.

Question 5 of 5

The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?

A. The staff maintains a calm manner when interacting with the client. B. The staff attends to client's physical needs as necessary. C. The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety. D. The staff assesses the client's need for medication or seclusion if other interventions have failed to reduce anxiety.

Correct Answer: C

Rationale: in this level of anxiety, client is unable to process thoughts and feelings for problem solving

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Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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