NCLEX-RN
NCLEX RN Exam Prep Questions
Extract:
Question 1 of 5
A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as:
Correct Answer: C
Rationale: Radiating pain is the correct term for pain that originates in one part of the body and extends to other related areas. In this scenario, the pain starting in the shoulder and traveling down the arm describes radiating pain. Referred pain (
Choice
A) is pain felt at a site different from the actual origin of the pain. Superficial pain (
Choice
B) is pain that arises from the skin or tissues just beneath it. Precipitating pain (
Choice
D) refers to pain that is triggered by specific actions or events, not the characteristic described in the question.
Question 2 of 5
Which of the following signs or symptoms indicates a possible nutritional deficiency?
Correct Answer: D
Rationale: A client with poor nutritional intake may have pale mucous membranes surrounding the eye, or the conjunctiva. This area should normally be pink, indicating good circulation and a lack of irritation or dryness. Improper nutrition can manifest as numerous signs in the body, including bowed legs, pale mucous membranes, a smooth or beefy tongue, and poor muscle tone. Subcutaneous fat at the waist and abdomen is not a sign of nutritional deficiency but rather of excess fat deposition. The presence of papillae on the surface of the tongue is normal and not indicative of a nutritional deficiency. Straight arms and legs are also typical anatomical features and not specifically related to nutritional deficiencies.
Question 3 of 5
You are ready to wash your patient's face. You would start by washing what area of the face?
Correct Answer: B
Rationale: When washing a patient's face, it is essential to start by cleaning the eyes. The eye area is considered the priority because moving from an area that can potentially be infected to areas of the face and body that are least able to become infected with a washcloth helps prevent the spread of germs. Washing the forehead, ears, or cheeks before the eyes may risk transferring bacteria to a more sensitive area like the eyes, which could lead to infections or other complications.
Therefore, starting with the eyes ensures proper hygiene and reduces the risk of introducing harmful microorganisms to the patient's face.
Question 4 of 5
A client is about to have a TENS unit attached for pain relief. Which of the following actions is most appropriate in this situation?
Correct Answer: A
Rationale: When attaching a TENS unit for pain relief, it is essential to inform the client that he may experience tingling sensations. This is a common sensation experienced when using a TENS unit, but it should not cause muscle twitching. The therapeutic effects of a TENS unit usually last between 3 to 5 days.
Choice B is incorrect because there is no specific recommendation to connect the TENS unit before bedtime.
Choice C is incorrect as stating that the TENS unit may have pain-reducing effects for 10 to 15 days is inaccurate, as the effects typically last 3 to 5 days.
Choice D is incorrect because there is no guideline suggesting that the client cannot use a TENS unit again for at least 2 weeks after treatment.
Question 5 of 5
A client is being assisted to lie in the Sims' position. In what position does the nurse arrange the client?
Correct Answer: A
Rationale: The Sims' position is a side-lying position used for examinations or comfort. In the Sims' position, the client lies on their side with the upper leg flexed. The abdomen is slightly downward, and the lower arm is positioned behind the body. A pillow can be used to support the leg.
Choice B is incorrect as it describes a position with the client lying on their back with the head lower than the feet.
Choice C is incorrect as it describes a prone position, not the Sims' position.
Choice D is incorrect as it describes a sitting position, not the Sims' position.