Nclex Practice Questions 2024

Extract:

Question 1 of 5

The client with a myocardial infarction comes to the nurse's station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?

Correct Answer: B

Rationale: The correct answer is B: Denial. The client displaying denial refuses to acknowledge the reality of having a myocardial infarction. Rationalization (choice
A) involves making excuses for behavior, not denying a condition. Projection (choice
C) is attributing one's thoughts or feelings to others, not denying an illness. Conversion reaction (choice
D) is converting psychological distress into physical symptoms, which is not evident in this scenario.
Therefore, denial is the defense mechanism being used in this situation.

Question 2 of 5

A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?

A. Peanut butter cookies B. Grilled cheese sandwich C. Cottage cheese and fruit D. Fresh peach

Correct Answer: D

Rationale: The correct answer is a fresh peach. It is the most suitable snack for a client with sodium restriction as it is naturally low in sodium. Peanut butter cookies (choice
A), grilled cheese sandwich (choice
B), and cottage cheese and fruit (choice
C) contain higher amounts of sodium, making them unsuitable choices for someone on a low-sodium diet. Fresh fruits like peaches are excellent options for individuals on a low-sodium diet as they are not only low in sodium but also provide essential nutrients and hydration.

Question 3 of 5

A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?

A. "You have nothing to worry about. You are in a safe place. Try to relax."? B. "Has anything happened recently or in the past that might have triggered these feelings?"? C. "We have given you a medication that helps to decrease feelings of anxiety."? D. "Take some deep breaths and try to calm down."?

Correct Answer: B

Rationale:
Choice B is the best response as it shows empathy, acknowledges the patient's feelings, and opens the door for discussion about potential triggers for anxiety. This approach helps the patient explore the root cause of his anxiety and provides an opportunity for therapeutic communication.
Choice A dismisses the patient's feelings and offers false reassurance, which may not address the underlying issue.

Choices C and D do not encourage the patient to express his emotions or delve into the reasons behind his anxiety, hindering the therapeutic process.

Question 4 of 5

Upon arrival at the emergency room, the client presents with severe burns to the left arm, hands, face, and neck. What action should take priority?

A. Starting an IV B. Applying oxygen C. Obtaining blood gases D. Medicating the client for pain

Correct Answer: B

Rationale: In a client with severe burns to the face and neck, airway assessment and supplemental oxygen are crucial.
Therefore, applying oxygen is the priority to ensure adequate oxygenation for the client. This intervention takes precedence over other actions to stabilize the client's condition. Starting an IV for fluid resuscitation is the next appropriate step following ensuring oxygenation (
Choice
A). While pain management is important, it is a secondary priority after ensuring oxygenation and fluid resuscitation, making medicating the client for pain a later intervention (
Choice
D). Obtaining blood gases (
Choice
C) is not the immediate priority in this scenario and would typically be ordered by the healthcare provider based on the client's condition and response to initial interventions.

Question 5 of 5

A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping. What is the best response by the nurse?

A. "I will ask the physician to prescribe medication for you."? B. "That must have been a very difficult and frightening experience. It might be helpful to talk about it."? C. "In the future, you might walk your dog in a more populated area or hire someone else to take over this task."? D. "Have you thought of moving to a safer neighborhood?"?

Correct Answer: B

Rationale:
Choice B is the best response as it provides empathy and encourages the client to talk about her experience, which can be therapeutic. This approach validates the client's feelings and offers support. By acknowledging the difficulty and fear experienced by the client, the nurse opens the door for the client to express her emotions and begin the process of coping with the trauma.

Choices A, C, and D do not address the emotional impact of the traumatic event or provide an opportunity for the client to express her feelings and concerns.
Choice A immediately jumps to medication without exploring other supportive interventions.
Choice C focuses on practical solutions without addressing the client's emotional needs.
Choice D suggests a drastic solution without considering the client's emotional state or preferences.

Nclex Practice Questions 2024 - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN