NCLEX Questions, NCLEX RN Practice Questions Free Questions,

Extract:

Question 1 of 5

Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child?

Correct Answer: D

Rationale: In Kohlberg's preconventional stage (preschool age), morality is based on consequences (punishment or reward). Obeying adults or pleasing others reflects later stages.

Question 2 of 5

A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?

A. The client no longer has intractable tremors. B. The client has sufficient production of dopamine. C. The client no longer requires any medication. D. The client will have increased production of serotonin.

Correct Answer: A

Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce symptoms like intractable tremors in Parkinson's disease. It does not directly increase dopamine or serotonin production, nor does it eliminate the need for medication entirely.

Question 3 of 5

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

A. Maintaining seizure precautions B. Restricting fluid intake C. Increasing sensory stimuli D. Applying ankle and wrist restraints

Correct Answer: A

Rationale: These clients are at high risk for seizures during the 1st week after cessation of alcohol intake. Fluid intake should be increased to prevent dehydration. Environmental stimuli should be decreased to prevent precipitation of seizures. Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.

Question 4 of 5

Which of the following is an expected finding in the assessment of a client with bulimia nervosa?

A. Extreme weight loss B. Presence of lanugo over body C. Erosion of tooth enamel D. Muscle wasting

Correct Answer: C

Rationale: Bulimia nervosa involves recurrent binge eating followed by purging, often through vomiting, which exposes teeth to stomach acid, leading to enamel erosion. Extreme weight loss and lanugo are more characteristic of anorexia nervosa, and muscle wasting is not a primary feature of bulimia.

Question 5 of 5

Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?

A. Verapamil (Isoptin) B. Amrinone (Inocor) C. Epinephrine (Adrenalin) D. Propranolol (Inderal)

Correct Answer: D

Rationale: Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SO
B), and wheezing. Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. Epinephrine has the effect of bronchodilation through stimulation. Propranolol, esmolol, and labetalol are -blocking agents, which can increase airway resistance and cause bronchospasms.