Practice NCLEX RN Questions

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Question 1 of 5.

A young adult patient constantly seeks attention from the nurses, stomping away from the nursesâ€™ station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?

A. Have the patient establish trust with one staff person with whom therapeutic interventions should occur.

B. Give the patient unsolicited attention when she is not exhibiting the unacceptable behaviors.

C. Ignore the patient when she exhibits attention-seeking behavior.

D. Rotate the staff so the patient will learn to relate to more than one nurse.

Explanation: reward nonseeking attention behaviors by giving the patient unsolicited attention

Question 2 of 5.

The parents of a one-month-old boy bring their son to the clinic for evaluation of a possible right dislocated hip. If a diagnosis of unilateral dislocation of the right hip is made, which of the following symptoms will the nurse observe?

A. Limited adduction of the right leg.

B. Uneven gluteal fold and thigh creases.

C. Increase in length of the right limb.

D. Internal rotation of the right leg.

Explanation: folds and creases will be longer and deeper on affected side

Question 3 of 5.

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

A. Steadily increasing vital signs.

B. Mild tremors and irritability.

C. Decreased respirations and disorientation.

D. Stomach distress and inability to sleep.

Explanation: indication that the client is approaching delirium tremens, which can be avoided with additional sedation

Question 4 of 5.

A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?

A. I keep having recurring nightmares.

B. I have a headache and my vision is blurry.

C. I feel like I'm watching myself from outside my body.

D. I hear voices telling me what to do.

Explanation: Dissociative disorders involve a disruption in the normal integration of consciousness, memory, identity, or perception. The statement 'I feel like I'm watching myself from outside my body' is indicative of depersonalization, a common symptom of dissociative disorders. Option A is associated with PTSD, B suggests a physical issue, and D is characteristic of psychotic disorders.

Question 5 of 5.

The nurse is caring for a client with a tracheostomy tube in place. During tracheostomy care, the nurse accidentally dislodges the tube. Which of the following actions should the nurse take FIRST?

A. Insert a new tracheostomy tube immediately.

B. Call for assistance from the respiratory therapist.

C. Attempt to reinsert the dislodged tube.

D. Cover the stoma with a sterile dressing.

Explanation: immediate reinsertion of a tracheostomy tube is critical to maintain airway patency

Question 1 of 5.

A. Have the patient establish trust with one staff person with whom therapeutic interventions should occur.

B. Give the patient unsolicited attention when she is not exhibiting the unacceptable behaviors.

C. Ignore the patient when she exhibits attention-seeking behavior.

D. Rotate the staff so the patient will learn to relate to more than one nurse.

Question 2 of 5.

A. Limited adduction of the right leg.

B. Uneven gluteal fold and thigh creases.

C. Increase in length of the right limb.

D. Internal rotation of the right leg.

Question 3 of 5.

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

A. Steadily increasing vital signs.

B. Mild tremors and irritability.

C. Decreased respirations and disorientation.

D. Stomach distress and inability to sleep.

Question 4 of 5.

A. I keep having recurring nightmares.

B. I have a headache and my vision is blurry.

C. I feel like I'm watching myself from outside my body.

D. I hear voices telling me what to do.

Question 5 of 5.

The nurse is caring for a client with a tracheostomy tube in place. During tracheostomy care, the nurse accidentally dislodges the tube. Which of the following actions should the nurse take FIRST?

A. Insert a new tracheostomy tube immediately.

B. Call for assistance from the respiratory therapist.

C. Attempt to reinsert the dislodged tube.

D. Cover the stoma with a sterile dressing.

Question 1 of 5.

A. Have the patient establish trust with one staff person with whom therapeutic interventions should occur.

B. Give the patient unsolicited attention when she is not exhibiting the unacceptable behaviors.

C. Ignore the patient when she exhibits attention-seeking behavior.

D. Rotate the staff so the patient will learn to relate to more than one nurse.

Question 2 of 5.

A. Limited adduction of the right leg.

B. Uneven gluteal fold and thigh creases.

C. Increase in length of the right limb.

D. Internal rotation of the right leg.

Question 3 of 5.

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

A. Steadily increasing vital signs.

B. Mild tremors and irritability.

C. Decreased respirations and disorientation.

D. Stomach distress and inability to sleep.

Question 4 of 5.

A. I keep having recurring nightmares.

B. I have a headache and my vision is blurry.

C. I feel like I'm watching myself from outside my body.

D. I hear voices telling me what to do.

Question 5 of 5.

The nurse is caring for a client with a tracheostomy tube in place. During tracheostomy care, the nurse accidentally dislodges the tube. Which of the following actions should the nurse take FIRST?

A. Insert a new tracheostomy tube immediately.

B. Call for assistance from the respiratory therapist.

C. Attempt to reinsert the dislodged tube.

D. Cover the stoma with a sterile dressing.

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