NCLEX RN Practice
Question 1 of 5.
A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?
A. I need my husband to take care of financial matters.'
B. It's so frustrating that my husband refuses to bathe.'
C. My husband doesn't pay attention to anything I try to tell him.'
D. I want my husband to do the things that he can still manage independently.'
Explanation: Expecting the husband to manage finances (A) indicates denial of his impaired judgment due to dementia, suggesting non-acceptance of a permanent role change. Other statements (B, C, D) reflect frustration or realistic expectations.
Question 2 of 5.
The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?
A. Draw a picture of the eye to explain what will happen.
B. Tell your daughter that the procedure will take one hour.
C. Use dolls or puppets to explain how to get ready for surgery.
D. Read an age-appropriate illustrated book about eye surgery to your daughter.
Explanation: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel
Question 3 of 5.
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
A. Massage the injection site.
B. Give deep IM in a large muscle mass.
C. Use a 2 inch 25 gauge needle.
D. Administer the medication in divided doses.
Explanation: medication is very irritating to subcutaneous tissue
Question 4 of 5.
The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?
A. Refer the family to Alliance for the Mentally Ill meetings for educational programs and support groups.
B. Provide the family with pamphlets that describe the desired action and side effects of medications the client is taking.
C. Tell the family that it is not their fault that the client behaves inappropriately.
D. Involve the family in the assessment of the client when s/he is first admitted to the hospital.
Explanation: this group provides ongoing support and educational information; people who attend have common needs and goals focused on managing the clients’ behavior at home
Question 5 of 5.
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
A. Pain relieved by eating a small meal.
B. Rebound tenderness at McBurney’s point.
C. Pain radiating to the left shoulder.
D. Soft, non-tender abdomen.
Explanation: rebound tenderness at McBurney’s point is a classic sign of appendicitis
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