NCLEX RN Practice Exam
Question 1 of 5.
A 22-year-old woman has just been diagnosed with myasthenia gravis. She asks the nurse what causes this disease. The most accurate response from the nurse is
A. This is a disease caused by a chromosomal defect in utero. It is a structural abnormality in the chromosome that causes nerve cells in your body to become inflamed and not function properly.'
B. This is an autoimmune disease in which antibodies attack the muscles and muscle atrophy occurs. The muscles will become weak and begin to waste.'
C. This is an autoimmune disease in which antibodies destroy acetylcholine at the neuromuscular junction. This prevents your muscles from contracting normally.'
D. This is a hereditary condition caused by a recessive gene. It causes nervous tissue to be broken down, and damage occurs to the brain and spinal cord.'
Explanation: Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, impairing muscle contraction.
Question 2 of 5.
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
A. Counseling regarding problems of body image.
B. Maintain airborne precautions.
C. Maintain aseptic technique during procedures.
D. Encourage peers to visit on a regular basis.
Explanation: safety is a priority for the client who is at high risk for infection
Question 3 of 5.
The nurse is assigned to work with the parents of a retarded child. Which of the following should the nurse include in the care plan for the parents?
A. Interpret the grieving process for the parents.
B. Discuss the reality of institutional placement.
C. Assist the parents in making decisions and long-term plans for the child.
D. Perform a family assessment to assist in the planning of intervention.
Explanation: assessment, this will help the nurse to know where the family is in regard to grieving, coping, etc.
Question 4 of 5.
An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client’s pain during ambulation?
A. Perform passive range-of-motion exercises before walking.
B. Encourage partial weight bearing while ambulating.
C. Immobilize the extremity between activities.
D. Restrict the amount of time and the distance the man walks.
Explanation: would relieve weight, pressure, and stress on affected leg, may use walker
Question 5 of 5.
The nurse performs an assessment of an 8-year-old girl diagnosed with scoliosis. Which of the following observations are expected with scoliosis?
A. The girl’s thoracic area is asymmetrical.
B. The girl walks with a waddling gait.
C. The girl’s lower legs are edematous.
D. The girl has a protruding sternum.
Explanation: thoracic area becomes noticeably distorted