NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The primary purpose of root cause analysis is to:
Correct Answer: A
Rationale: Root cause analysis aims to identify underlying process flaws that contributed to an adverse event to prevent recurrence, rather than focusing on individual blame .
Question 2 of 5
The nurse is assessing a client with suspected meningitis. Which of the following findings would support this diagnosis? Select all that apply.
Correct Answer: A, B, D
Rationale: Nuchal rigidity, positive Kernig's sign, and photophobia are classic signs of meningitis due to meningeal irritation.
Question 3 of 5
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
Correct Answer: D
Rationale: The client's symptoms of feeling 'lousy' when stopping the drug indicate physical dependence, as the body has adapted to the presence of amphetamines, leading to withdrawal symptoms upon cessation.
Question 4 of 5
A postmastectomy client has been found to have an estrogen receptor-positive tumor. The nurse interprets after reading this information in the pathology report that the client will most likely have which common follow-up treatment prescribed?
Correct Answer: C
Rationale: A common treatment for women with estrogen receptor-positive breast tumors is follow-up treatment with tamoxifen. This medication is classified as an antineoplastic agent and competes with estrogen for binding sites in the breast and other tissues. The medication may be administered for years after surgery. The remaining options suggest incorrect treatments.
Question 5 of 5
While assessing a neonate at age 24 hours, the nurse observes several irregularly shaped, red, flat patches on the back of the neonate's neck. The nurse interprets this finding as which of the following?
Correct Answer: A
Rationale: Stork bites are common, benign, red, flat patches on a neonate's neck or face that typically fade over time. Port wine stains are darker and persistent, newborn rash is more generalized, and café au lait spots are pigmented and light brown.