NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The physician has ordered a lumbar puncture for a client with suspected Guillain-Barre syndrome. The spinal fluid of a client with Guillain-Barre syndrome typically shows:
Correct Answer: B
Rationale: Guillain-Barre syndrome is characterized by elevated protein levels in cerebrospinal fluid with a normal cell count, reflecting nerve root inflammation.
Question 2 of 5
A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:
Correct Answer: B
Rationale: (A, C,
D) A Trendelenburg gait is not characteristic of any of these disorders. The downward slant of one hip is a positive sign of dislocation in the weight-bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.
Question 3 of 5
The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
Correct Answer: B
Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication. Rhyming, irrelevant details, or neologisms are different symptoms.
Question 4 of 5
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:
Correct Answer: C
Rationale: Nudity is not a trigger for reminding males to perform TSE. Testicles become more firm when exposed to cool temperatures, but not large and bulky. The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. The examination should not be painful.
Question 5 of 5
A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the client's:
Correct Answer: C
Rationale: Assessing the client's level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. Assessing the client's thought processes is an important part of the MSE, but it does not reflect suicide potential. Assessing the client's mood and affect is an important part of the MSE, and it can be a very valuable indicator of suicide potential. Frequently a client who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. Assessing a client's abstracting abilities is an important part of the MSE, but it does not reflect suicide potential.