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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Question # 21

A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be:

Options:

A.  

Accepting her present body image

B.  

Verbalizing realistic feelings about her body

C.  

Having an improved perception of her body image

D.  

Exhibiting increased self-esteem

Discussion 0
Question # 22

Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:

Options:

A.  

Reinforce attempts to eat

B.  

Help the child gain weight

C.  

Increase his appetite

D.  

Make mealtimes pleasant

Discussion 0
Question # 23

During the assessment, the nurse observes a client scratching his skin. He has been admitted to rule out Laennec’s cirrhosis of the liver. The nurse knows the pruritus is directly related to:

Options:

A.  

A loss of phagocytic activity

B.  

Faulty processing of bilirubin

C.  

Enhanced detoxification of drugs

D.  

The formation of collateral circulation

Discussion 0
Question # 24

The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

Options:

A.  

Oculogyric crisis

B.  

Hypertensive crisis

C.  

Orthostatic hypotension

D.  

Tardive dyskinesia

Discussion 0
Question # 25

When planning care for a 9-year-old client, the nurse uses which of the most effective means of helping siblings cope with their feelings about a brother who is terminally ill?

Options:

A.  

Open discussion and understanding

B.  

Play-acting out feelings in different roles

C.  

Storytelling

D.  

Drawing pictures

Discussion 0
Question # 26

During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:

Options:

A.  

Putting all joints through full range-of-motion twice daily

B.  

Massaging the joints briskly with lotion or liniment after bath

C.  

Immobilizing the joints in functional position using splints, rolls, and pillows

D.  

Applying warm water bottle or heating pads over involved joints

Discussion 0
Question # 27

A child with celiac disease is being discharged from the hospital. The mother demonstrates knowledge of nutritional needs of her child when she is able to state the foods which are included in a:

Options:

A.  

Lactose-restricted diet

B.  

Gluten-restricted diet

C.  

Phenylalanine-restricted diet

D.  

Fat-restricted diet

Discussion 0
Question # 28

Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:

Options:

A.  

Parkinsonism and dystonia

B.  

Dystonia and akathisia

C.  

Akathisia and parkinsonism

D.  

Neuroleptic malignant syndrome

Discussion 0
Question # 29

A client has been taking lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The nurse should:

Options:

A.  

Notify the physician immediately

B.  

Hold the morning lithium dose and continue to observe the client

C.  

Administer the morning lithium dose as scheduled

D.  

Obtain an order for benztropine (Cogentin)

Discussion 0
Question # 30

A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?

Options:

A.  

“When I get home, I will need to take my medicines and call my therapist if I have any side effects or begin to hear voices.”

B.  

“If I have any side effects from my medicines, I will take an extra dose of Cogentin.”

C.  

“When I get home, I should be able to taper myself off the Haldol because the voices are gone now.”

D.  

“As soon as I leave here, I’m throwing away my medicines. I never thought I needed them anyway.”

Discussion 0
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