NCLEX-RN
Saunders NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following is an example of low health literacy skills?
Correct Answer: B
Rationale: The correct answer is B. Low health literacy refers to an individual's ability to obtain, process, and understand basic health information and services to make appropriate health decisions. In this scenario, the client's inability to read an admission form indicates low health literacy as they are unable to access important health information required for decision-making.
Choice A is incorrect as it describes a nurse's knowledge deficit, not health literacy skills.
Choice C involves a nurse's clinical competency in calculations, not health literacy.
Choice D is a duplicate of
Choice A.
Question 2 of 5
Examples of preservation of self-integrity include all of the following except:
Correct Answer: C
Rationale: The correct answer is C: Accepting the challenge of caring for clients with oppositional beliefs or practices. This choice does not align with preservation of self-integrity as it may require compromising personal values or beliefs. Using assistive equipment (
A) promotes safety, participating in wellness programs (
B) supports personal well-being, and using hand hygiene and PPE (
D) ensures infection control. Accepting clients' opposing beliefs may lead to internal conflict, compromising self-integrity.
Question 3 of 5
Which of the following types of antipsychotic medications is most likely to produce extrapyramidal effects?
Correct Answer: B
Rationale: The correct answer is B: First-generation antipsychotic drugs. These medications primarily block dopamine receptors in the brain, leading to extrapyramidal effects such as dystonia, akathisia, parkinsonism, and tardive dyskinesia. These side effects are less common with atypical antipsychotic drugs (choice
A) due to their different receptor profiles. Third-generation antipsychotic drugs (choice
C) and dopamine system stabilizers (choice
D) are newer classes of medications with reduced extrapyramidal effects compared to first-generation drugs.
Therefore, the most likely culprit for producing extrapyramidal effects among the options provided is the first-generation antipsychotic drugs.
Question 4 of 5
A physician has written an order for '2.0 mg MS q 2-4 hr prn pain.' What is the nurse's appropriate response to this order?
Correct Answer: D
Rationale: The correct answer is D: Contact the physician to rewrite the order. The order '2.0 mg MS q 2-4 hr prn pain' is ambiguous as it does not specify the maximum dose within the 2-4 hour range. The nurse should clarify with the physician to ensure patient safety and accuracy in medication administration. Option A is incorrect as it assumes the dose without clarification. Option B is incorrect as it provides an incorrect dose. Option C is not the most appropriate initial action as contacting the physician directly is crucial.
Question 5 of 5
When taking Mr. D's blood pressure, the first sound you hear is at 162, and the second sound you hear is at 86. You should document and report that the blood pressure is _____________.
Correct Answer: C
Rationale: The correct answer is C: 162/86. The first sound heard corresponds to the systolic pressure (top number) and the second sound heard corresponds to the diastolic pressure (bottom number).
Therefore, the blood pressure is documented as systolic/diastolic. In this case, the first sound at 162 indicates the systolic pressure, and the second sound at 86 indicates the diastolic pressure. Alternatives A (86/162) is incorrect as systolic pressure always comes first. B (irregular and high) is incorrect as the blood pressure values are within normal range. Option D (normal for people of all ages) is incorrect because the blood pressure should be documented as per standard practice, regardless of age.