NCLEX-RN
NCLEX RN Exam Review Answers Questions
Extract:
Question 1 of 5
Which of the following is an example of intrapersonal conflict?
Correct Answer: A
Rationale: Intrapersonal conflict involves negative feelings or frustrations within oneself. It may be related to decisions or actions that clash with personal morals or beliefs.
Choice A is the correct answer because the nurse is experiencing guilt due to administering medication that causes a client to have negative side effects, which reflects an internal struggle.
Choices B, C, and D do not represent intrapersonal conflict.
Choice B involves a legal obligation,
Choice C is related to external factors like working overtime, and
Choice D pertains to a conflict with a colleague.
Question 2 of 5
You are caring for a group of elderly clients, many of whom are affected by multiple chronic disorders and are also, at times, affected by some acute disorders that require medical and nursing attention. As you are caring for these clients, some will need a new medication regimen for an acute disorder. You should consider the fact that the elderly population is at risk for more side effects, adverse drug reactions, and toxicity due to the elderly having a(n):
Correct Answer: C
Rationale: The correct answer is 'Decreased hepatic metabolism.' The elderly population is at risk for more side effects, adverse drug reactions, and toxicity due to a decrease in hepatic metabolism. This is caused by changes in hepatic functioning in the elderly, including decreased hepatic blood flow and functioning.
Choice A, 'Increased creatinine clearance,' is incorrect as aging typically results in decreased, not increased, creatinine clearance.
Choice B, 'Impaired immune system,' is not directly related to the increased risk of adverse drug reactions in the elderly.
Choice D, 'Increased bodily fat,' is not a primary factor contributing to the increased risk of medication-related issues in the elderly population.
Question 3 of 5
A family member is complaining that the lights are too dim in the middle of the night when she comes in to visit her husband. What is the most objective response?
Correct Answer: D
Rationale: The most objective response in this situation is to explain to the family member that there is a specific reason for dimming the lights and offer to share a research study to provide evidence-based information. By doing so, it helps the family member understand that the care provided is based on established practices and research, potentially alleviating her concerns and ensuring that her husband receives appropriate care.
Choices A, B, and C do not address the family member's concern or provide a rationale backed by evidence, making them less suitable responses in this context.
Question 4 of 5
The client is being educated about depression by the nurse. Which statement by the client indicates that the teaching has been effective?
Correct Answer: C
Rationale: The correct answer, 'I never realized depression could occur without a specific cause,' demonstrates an understanding that depression can arise without a clear trigger, indicating effective teaching.
Choice A is incorrect because not all elderly individuals experience depression, and this statement doesn't show understanding.
Choice B is incorrect as it reflects a misconception about the quick resolution of depression.
Choice D is incorrect as it oversimplifies the relationship between stress reduction and depression resolution.
Question 5 of 5
What is the highest priority for post ECT care?
Correct Answer: B
Rationale: The highest priority for post ECT care is to monitor respiratory status. This is crucial because a life-threatening side effect of ECT is respiratory arrest. While observing for confusion and reorienting the client are important aspects of post ECT care, they are not as critical as ensuring the client's respiratory status is stable. Documenting the client's response to treatment is also important for maintaining accurate medical records, but it is not the highest priority immediately post ECT.