NCLEX-RN Exam

Home / Nursing & Allied Health Certifications / NCLEX RN

Question 1 of 5.

A 32-year-old mother of two was brought to the hospital by her husband. He reported that his wife could no longer manage the house and children. She does not sleep and talks day and night. She has purchased some very expensive clothes. The nurse noted that the client speaks rapidly and changes the subject irrationally. This is an example of:

A. Flight of ideas

B. Delusions

C. Hallucinations

D. Echolalia

Explanation: Rapidly moving from one topic to another without following any logical sequence is called flight of ideas, characteristic of manic behavior.

Question 2 of 5.

After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:

A. Hamburger

B. Hot dog

C. Potato salad

D. Baked beans

Explanation: Undercooked hamburger is a common source of E. coli, particularly E. coli O157:H7, which can contaminate ground beef.

Question 3 of 5.

A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:

A. Ineffective family coping related to parental role conflict

B. Care-giver role strain related to chronic situational stress

C. Altered family process related to impaired social interaction

D. Altered parenting related to impaired growth and development

Explanation: The mother's statement reflects caregiver role strain due to the chronic stress of managing a child with paranoid schizophrenia, impacting the parents' ability to cope.

Question 4 of 5.

A client with obsessive compulsive personality disorder annoys his co-workers with his rigid-perfectionistic attitude and his preoccupation with trivial details. An important nursing intervention for this client would be:

A. Helping the client develop a plan for changing his behavior

B. Contracting with him for the time he spends on a task

C. Avoiding a discussion of his annoying behavior because it will only make him worse

D. Encouraging him to set a time schedule and deadlines for himself

Explanation: Setting time schedules and deadlines helps manage the client's perfectionism and preoccupation with details, promoting efficiency without confrontation.

Question 5 of 5.

The nurse has just received the change of shift report. Which client should the nurse assess first?

A. A client with a supratentorial tumor awaiting surgery

B. A client admitted with a suspected subdural hematoma

C. A client recently diagnosed with akinetic seizures

D. A client transferring to the neuro rehabilitation unit

Explanation: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment.

Related Questions

A female client has married recently. A month ago she visited her physician with complaints of burning on urination. She was given a prescription for trimethoprim-sulfamethoxazole (Bactrim) DS bid for 10 days. She was admitted through the emergency room on Saturday evening complaining of flank pain. Her temperature was 104Ã‚Â°F. A preliminary urinalysis revealed 31 bacteria along with red and white blood cells Rankings blood cells in the urine. A preliminary diagnosis of pyelonephritis was made. During a nursing admission assessment, which statement by the client demonstrates a possible cause for pyelonephritis?

A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has prescribed two doses of betamethasone 12 mg IM q24h. The nurse explains that she is receiving this drug to:

A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:

A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?