NCLEX NCLEX-RN
NCLEX RN Exam Preview Answers
1. During a class on religion and spirituality, the nurse is asked to define spirituality. Which statement by the nurse best describes spirituality?
- A. “Is a personal search to discover a supreme being.”
- B. “Is an organized system of beliefs concerning the cause, nature, and purpose of the universe.”
- C. “Is a belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife.”
- D. “Focuses on a connection with something bigger than oneself and a belief in transcendence.”
Correct answer: “Focuses on a connection with something bigger than oneself and a belief in transcendence.”
Rationale: Spirituality is a broad term that focuses on a connection with something greater than oneself and a belief in transcendence. It is a personal journey that arises from unique life experiences and the individual's quest to find purpose and meaning in life. The correct answer emphasizes the essence of spirituality, which involves seeking a connection with a higher power and believing in transcendence. Choices A, B, and C, on the other hand, define aspects of religion rather than spirituality. Choice A refers to a personal search for a supreme being, which is more aligned with religious beliefs. Choice B describes an organized system of beliefs about the universe, typically associated with religion. Choice C pertains to beliefs about existence after death, such as reincarnation or the afterlife, which are often religious concepts. Therefore, the best description of spirituality is focusing on a connection with something beyond oneself and a belief in transcendence.
2. Which intervention would the nurse implement to develop a caring relationship with the client’s family?
- A. Deciding health care options for the client
- B. Identifying the client’s family members and their roles
- C. Declining to inform the client’s family after performing a procedure
- D. Refraining from discussing the client’s health with the family
Correct answer: Identifying the client’s family members and their roles
Rationale: To establish a caring relationship with the client's family, the nurse should start by identifying the family members and understanding their roles in the client's life. This step is crucial in determining how they can contribute to the client's healthcare and support. Deciding healthcare options for the client (Choice A) is not the nurse's role; it should be a collaborative decision with the client and family. Declining to inform the client’s family after a procedure (Choice C) goes against transparency and collaboration in care. Refraining from discussing the client’s health with the family (Choice D) can hinder effective communication and support, which are essential in developing a caring relationship with the family.
3. Which interventions should the nurse include when creating a care plan for a child with hepatitis? Select one that doesn't apply.
- A. Providing a low-fat, well-balanced diet.
- B. Teaching the child effective hand-washing techniques.
- C. Notifying the primary health care provider (PHCP) if jaundice is present.
- D. Instructing the parents to avoid administering medications unless prescribed.
Correct answer: Instructing the parents to avoid administering medications unless prescribed.
Rationale: The correct answer is instructing the parents to avoid administering medications unless prescribed. This choice is not directly related to the care of a child with hepatitis. It is essential for the nurse to educate the child and family about providing a low-fat, well-balanced diet to support the liver, teaching effective hand-washing techniques to prevent the spread of infection, and notifying the primary health care provider if jaundice is present to monitor the progression of the disease and adjust the treatment plan accordingly. Avoiding unnecessary medications is crucial, but it should be done under healthcare provider guidance, so the statement should be revised to reflect this aspect. Therefore, the other options are appropriate for the care of a child with hepatitis.
4. Which patient is at risk for developing oral candidiasis, a type of stomatitis?
- A. A 77-year-old woman in a long-term care facility taking an antibiotic
- B. A 35-year-old man who has had HIV for 6 years
- C. A 40-year-old man who is undergoing chemotherapy
- D. An 80-year-old woman with dentures
Correct answer: A 77-year-old woman in a long-term care facility taking an antibiotic
Rationale: The correct answer is a 77-year-old woman in a long-term care facility taking an antibiotic. This patient has multiple risk factors for developing oral candidiasis, including older age, being in a long-term care facility, and taking antibiotics. Candidiasis can be caused by long-term antibiotic therapy, immunosuppressive therapy (such as chemotherapy), older age, living in a long-term care facility, diabetes, having dentures, and poor oral hygiene. Choices B, C, and D are less likely to be at high risk for oral candidiasis compared to the correct answer.
5. The patient with chronic pancreatitis will be taught to take the prescribed pancrelipase (Viokase)
- A. at bedtime.
- B. in the morning.
- C. with each meal.
- D. for abdominal pain.
Correct answer: with each meal.
Rationale: The correct answer is to take pancrelipase (Viokase) with each meal. Pancrelipase is a pancreatic enzyme replacement medication that helps with the digestion of nutrients. Patients with chronic pancreatitis often have difficulty digesting food properly due to insufficient pancreatic enzyme production. Taking pancrelipase with each meal assists in the breakdown of fats, proteins, and carbohydrates consumed during the meal. Option A ('at bedtime') is incorrect because enzymes should be taken with meals to aid in digestion. Option B ('in the morning') is not ideal as it does not ensure optimal enzyme activity during meals. Option D ('for abdominal pain') is incorrect as pancrelipase is not meant to be taken solely for pain relief but rather to aid in digestion.
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