NCLEX NCLEX-RN
NCLEX RN Actual Exam Test Bank
1. A patient works with a nurse to establish outcomes. The nurse believes that one outcome suggested by the patient is not in the patient’s best interest. What is the nurse’s best action?
- A. Remain silent.
- B. Educate the patient that the outcome is not realistic.
- C. Explore with the patient possible consequences of the outcome.
- D. Formulate an appropriate outcome without the patient’s input.
Correct answer: Explore with the patient possible consequences of the outcome.
Rationale: In this scenario, the nurse should collaborate with the patient rather than impose personal opinions. While the nurse should respect the patient's autonomy, they also have a duty to provide guidance. By exploring possible consequences of the suggested outcome with the patient, the nurse can facilitate a discussion that helps the patient make an informed decision. This approach respects the patient's input while ensuring their well-being. Remaining silent (Choice A) may not address the issue, educating the patient unilaterally (Choice B) may be perceived as dismissive, and formulating an outcome without patient input (Choice D) disregards the patient's autonomy and preferences.
2. Which behavioral characteristic describes the domestic abuser?
- A. Alcoholic
- B. Overconfident
- C. High tolerance for frustrations
- D. Low self-esteem
Correct answer: Low self-esteem
Rationale: The correct answer is 'Low self-esteem.' Domestic abusers often exhibit behaviors stemming from their own experiences of abuse, leading to a cycle of violence. They commonly have low self-esteem, which drives their need to exert control and power over their partners. Choice A, 'Alcoholic,' is not a defining behavioral characteristic of domestic abusers. Choice B, 'Overconfident,' is not typically associated with abusers who often exhibit insecurity and control issues. Choice C, 'High tolerance for frustrations,' is not a primary characteristic of domestic abusers; rather, they often have a low tolerance for situations that challenge their need for control.
3. 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 _____________.
- A. 86/162
- B. irregular and high
- C. 162/86
- D. normal for people of all ages
Correct answer: 162/86
Rationale: You should document and report that the blood pressure measurement for Mr. D is 162/86. The first sound heard corresponds to the systolic reading (top number), and the second sound corresponds to the diastolic reading (bottom number). Blood pressure readings are not irregular; irregularities are typically associated with pulses. The blood pressure recorded is not normal for individuals of all ages; it is considered high.
4. While conducting an intake assessment of an adult male at a community mental health clinic, the nurse notes that his affect is flat, he responds to questions with short answers, and he reports problems with sleeping. He reports that his life partner recently died from pneumonia. Which action is most important for the nurse to implement?
- A. Encourage the client to see the clinic's grief counselor.
- B. Determine if the client has a family history of suicide attempts.
- C. Inquire about whether the life partner was suffering from AIDS.
- D. Consult with the health care provider about the client's need for antidepressant medications.
Correct answer: Encourage the client to see the clinic's grief counselor.
Rationale: The client is exhibiting normal grieving behaviors, so referral to a grief counselor is the most important intervention for the nurse to implement. Option B is relevant but is not a high-priority intervention compared to addressing the immediate grief support needs of the client. Option C is irrelevant at this time but might be important when determining the client's risk for contracting the illness. While antidepressant medication might be necessary based on further assessment, grief counseling is a more appropriate initial action as grief is a typical response to the loss of a loved one.
5. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
- A. I have not had any acute asthma attacks during the last year.
- B. I became short of breath an hour before coming to the hospital.
- C. I've been taking Tylenol 650 mg every 6 hours for chest-wall pain.
- D. I've been using my albuterol inhaler more frequently over the last 4 days.
Correct answer: I've been using my albuterol inhaler more frequently over the last 4 days.
Rationale: The correct answer is 'I've been using my albuterol inhaler more frequently over the last 4 days.' This statement indicates that the patient may need teaching regarding medication use because an increased need for a rapid-acting bronchodilator suggests an exacerbation of asthma. The patient should be educated on recognizing worsening symptoms and the appropriate actions to take. Choices A, B, and C do not directly relate to asthma exacerbation or the need for medication teaching, making them incorrect. Choice A reflects a lack of recent acute asthma attacks, while choice B describes shortness of breath unrelated to medication use. Choice C mentions Tylenol use for chest-wall pain, which is not indicative of asthma exacerbation or medication teaching needs.
Similar Questions
Access More Features
NCLEX Basic
- 5,000 Questions with answers
- Comprehensive NCLEX coverage
- 30 days access @ $69.99
NCLEX Basic
- 5,000 Questions and answers
- Comprehensive NCLEX Coverage
- 90 days access @ $69.99