NCLEX NCLEX-RN
Exam Cram NCLEX RN Practice Questions
1. Your patient has been diagnosed with herpes simplex virus 2. Which of the following would NOT be included in your teaching of this patient?
- A. If you have symptoms, you should avoid sexual contact with other individuals.
- B. With treatment, this condition can be cured.
- C. This disease is highly contagious.
- D. You may experience tingling in the skin before an active outbreak occurs.
Correct answer: With treatment, this condition can be cured.
Rationale: The correct answer is 'With treatment, this condition can be cured.' The treatment for herpes simplex virus (HSV) is symptomatic and palliative, aimed at managing symptoms rather than curing the infection. HSV is highly contagious, so sexual contact should be avoided during active outbreaks to prevent transmission. Many patients experience a tingling sensation in the skin before an active outbreak, known as a prodrome. Educating the patient that the condition is not curable but manageable with treatment is vital to set realistic expectations and promote proper management of the disease.
2. An Asian-American woman is experiencing diarrhea, which is believed to be “cold” or “yin.” What should the nurse recognize that the woman may likely try to treat it?
- A. Foods that are “hot” or “yang”
- B. Readings and Eastern medicine meditations
- C. High doses of medicines believed to be “cold”
- D. No treatment because diarrhea is an expected part of life.
Correct answer: Foods that are “hot” or “yang”
Rationale: In this scenario, the Asian-American woman is believed to be experiencing diarrhea due to a “cold” or “yin” imbalance. According to the yin/yang theory, yang represents heat and yin represents cold. Therefore, to balance the cold nature of the diarrhea, the woman may try to treat it by consuming foods that are considered “hot” or “yang”. This aligns with the concept that cold foods are eaten with a hot illness, and hot foods are eaten with a cold illness. Choices B, C, and D do not align with the yin/yang theory and are not relevant to addressing the imbalance associated with the cold nature of the diarrhea.
3. The client starting an exercise program will progress to walking a 20-minute mile in one month.
- A. Client will walk quickly three times a day
- B. Client will be able to walk a mile
- C. Client will have no alteration in breathing during the walk
- D. Client will progress to walking a 20-minute mile in one month
Correct answer: Client will progress to walking a 20-minute mile in one month
Rationale: Outcome statements must be written in behavioral terms and identify specific, measurable client behaviors. They are stated in terms of the client with an action verb that, under identified conditions, will achieve the desired behavior. Choice A lacks specificity and does not mention a target time or goal. Choice B is vague and does not provide a specific target for improvement. Choice C focuses on a negative outcome (no alteration) rather than a positive goal. The correct answer, Choice D, is specific, measurable, and time-bound, making it a suitable outcome statement for a client starting an exercise program.
4. In which situation might an occupational health nurse consultation be necessary?
- A. A nurse is injured from using incorrect body mechanics to lift a client
- B. A nurse receives a subpoena to testify in court about a client's case
- C. A client who has been injured in a diving accident needs assistance with planning rehabilitation and surgery
- D. A nursing unit is implementing a new electronic health record system
Correct answer: A nurse is injured from using incorrect body mechanics to lift a client
Rationale: An occupational health nurse is involved in assessing the work environment, educating employees about safety practices, and infection control. When a nurse sustains an injury due to incorrect body mechanics, it falls under the purview of an occupational health nurse because they are responsible for documenting such incidents, providing necessary care or treatment, and ensuring that preventive measures are in place to avoid similar accidents in the future. The other options do not directly relate to the role of an occupational health nurse. Testifying in court, assisting a client with rehabilitation, or implementing a new electronic health record system are not typical scenarios where an occupational health nurse would be involved.
5. Which of the following is an example of neurofeedback used with a child diagnosed with reactive attachment disorder (RAD)?
- A. A child's brain waves are monitored through electrodes placed on the scalp
- B. Parents give their child a sticker when he behaves appropriately
- C. A child uses a sand tray to draw shapes and release stress while talking with a nurse
- D. Parents or a nurse hold a child close during play until he becomes angry enough to unleash his rage
Correct answer: A child's brain waves are monitored through electrodes placed on the scalp
Rationale: Neurofeedback is a form of treatment that may be used for children diagnosed with reactive attachment disorder (RAD). Neurofeedback involves attaching electrodes to the scalp in a method similar to an EEG. The child's brainwaves are then monitored while being exposed to positive images or games to produce positive brain patterns. Choice A is the correct answer as it describes the process of neurofeedback, which is a common therapeutic approach for managing RAD. Choices B, C, and D are incorrect because they do not directly involve monitoring brain waves through electrodes to provide feedback for brain pattern adjustments, which is the core concept of neurofeedback therapy.
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