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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Question # 51

The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her son’s condition by which of the following statements?

Options:

A.  

“Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain.”

B.  

“Has anyone in your family ever had schizophrenia?”

C.  

“If your son has a twin, he probably will eventually develop schizophrenia, too.”

D.  

“Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship.”

Discussion 0
Question # 52

The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig’s sign. The nurse expects her to react to discomfort if she:

Options:

A.  

Dorsiflexes her ankle

B.  

Flexes her spine

C.  

Plantiflexes her wrist

D.  

Turns her head to the side

Discussion 0
Question # 53

A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. The doctor diagnoses chickenpox. Her mother asks the nurse how many baby aspirins her daughter can have for fever. The nurse should:

Options:

A.  

Advise the mother not to give her aspirin

B.  

Ask if the client is allergic to aspirin before giving further information

C.  

Assess the function of the client’s cranial nerve VIII

D.  

Check the aspirin bottle label to determine milligrams per tablet

Discussion 0
Question # 54

On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:

Options:

A.  

Take 2 ibuprofen (Motrin) tablets by mouth now because the baby will be returning for feeding in 20 minutes

B.  

Allow the infant to breast-feed at the next feeding time to empty the breasts

C.  

Apply ice packs to the breasts and wear a supportive, well-fitting bra

D.  

Take a warm shower and express milk from both breasts until empty

Discussion 0
Question # 55

A new mother experiences strong uterine contractions while breast-feeding her baby. She excitedly rings for the nurse. When the nurse arrives the mother tells her, “Something is wrong. This is like my labor.” Which reply by the nurse identifies the physiological response of the client?

Options:

A.  

“Your breasts are secreting a hormone that enters your bloodstream and causes your abdominal muscles to contract.”

B.  

“Prolactin increases the blood supply to your uterus, and you are feeling the effects of this blood vessel engorgement.”

C.  

“The same hormone that is released in response to the baby’s sucking, causing milk to flow, also causes the uterus to contract.”

D.  

“There is probably a small blood clot or placental fragment in your uterus, and your uterus is contracting to expel it.”

Discussion 0
Question # 56

The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

Options:

A.  

A low birth weight

B.  

A birth defect

C.  

Anemia

D.  

Nicotine withdrawal

Discussion 0
Question # 57

A client is admitted to the psychiatric unit after lavage and stabilization in the emergency room for an overdose of antidepressants. This is her third attempt in 2 years. The highest priority intervention at this time is to:

Options:

A.  

Assess level of consciousness

B.  

Assess suicide potential

C.  

Observe for sedation and hypotension

D.  

Orient to her room and unit rules

Discussion 0
Question # 58

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

Options:

A.  

“I should shave with my electric razor while on Coumadin.”

B.  

“I will inform my dentist that I am on anticoagulant therapy before receiving dental work.”

C.  

“I will continue with my usual dosage of aspirin for my arthritis when I return home.”

D.  

“I will wear an ID bracelet stating that I am on anticoagulants.”

Discussion 0
Question # 59

A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:

Options:

A.  

Tell the client to attend all structured activities on the unit

B.  

Encourage or direct client to attend activities that offer simple methods to attain success

C.  

Increase the client’s self-esteem by asking that she make all decisions regarding attendance in group activities

D.  

Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff

Discussion 0
Question # 60

Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

Options:

A.  

136/88 to 144/93

B.  

132/78 to 124/76

C.  

114/70 to 140/88

D.  

140/90 to 148/98

Discussion 0
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