NCLEX-RN
Exam Cram NCLEX RN Practice Questions Questions
Question 1 of 5
The nurse has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis?
Correct Answer: D
Rationale: In caring for a client with severe depression, safety is a critical priority. The nurse must address precautions to prevent suicide as part of the care plan. While nutrition, elimination, and activity are important aspects of care, safety takes precedence due to the immediate risk of harm associated with depression. Ensuring the client's safety by implementing measures to prevent self-harm or suicide is the priority intervention. Addressing nutrition, elimination, and activity can follow once the client's safety is assured.
Question 2 of 5
The mother of a child with hepatitis A tells the home care nurse that she is concerned because the child's jaundice seems worse. What is the nurse's best response?
Correct Answer: C
Rationale: The best response for the nurse in this situation is to explain to the mother that jaundice may seem to worsen before it eventually gets better. This is a common occurrence in hepatitis A. Option A about changing the child's diet is irrelevant to the concern raised by the mother and not supported by evidence. Option B suggesting the child is infectious again is incorrect and may cause unnecessary alarm as jaundice does not indicate reinfection. Option D, advising the mother to call the primary health care provider, is premature as the nurse can first provide education and reassurance regarding the expected course of jaundice in hepatitis A.
Question 3 of 5
A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
Correct Answer: A
Rationale: The correct answer is that levothyroxine (Synthroid) should be taken in the morning. Taking it in the morning can help prevent interference with the client's sleeping pattern, as one of the side effects of levothyroxine is insomnia.
Choice B is incorrect because levothyroxine is actually used to treat hypothyroidism and can help increase energy levels.
Choice C is incorrect as there is no specific requirement for levothyroxine to be stored in a dark container.
Choice D is incorrect because levothyroxine is more likely to increase heart rate rather than decrease it.
Question 4 of 5
A child is diagnosed with Hirschsprung's disease. The nurse is teaching the parents about the cause of the disease. Which statement, if made by the parent, supports that teaching was successful?
Correct Answer: A
Rationale: Hirschsprung's disease, also known as congenital aganglionosis or megacolon, is characterized by the absence of ganglion cells in the rectum and, sometimes, extending into the colon.
Choice A correctly explains the cause of Hirschsprung's disease.
Choice B is incorrect as it describes celiac disease, which is related to gluten intolerance.
Choice C is inaccurate as it describes symptoms of irritable bowel syndrome, not the cause of Hirschsprung's disease.
Choice D is wrong as it pertains to lactose intolerance, not Hirschsprung's disease.
Question 5 of 5
Septic, anaphylactic, and neurogenic shock are all categorized as:
Correct Answer: C
Rationale: Septic, anaphylactic, and neurogenic shock are all types of distributive shock. Distributive shock is characterized by a decrease in systemic vascular resistance, leading to poor tissue perfusion. Septic shock is caused by severe infection, anaphylactic shock is an extreme allergic reaction, and neurogenic shock results from damage to the nervous system. Hypovolemic shock (
Choice
A) is characterized by a decrease in intravascular volume, cardiogenic shock (
Choice
B) is due to heart failure, and obstructive shock (
Choice
D) results from obstruction of blood flow.
Therefore, the correct categorization for septic, anaphylactic, and neurogenic shock is distributive shock.