NCLEX RN Nursing Exam

Home / Nursing & Allied Health Certifications / NCLEX RN

Question 1 of 5.

A client is medically cleared for ECT and is tentatively scheduled for six treatments over a 2-week period. Her husband asks, 'Isn't that a lot?' The nurse's best response is:

A. Yes, that does seem like a lot.'

B. You'll have to talk to the doctor about that. The physician knows what's best for the client.'

C. Six to 10 treatments are common. Are you concerned about permanent effects?'

D. Don't worry. Some clients have lots more than that.'

Explanation: The most common range for affective disorders is 6-10 treatments. This response confirms and reinforces the physician's plan for treatment. It also opens communication with the husband to identify underlying fears and knowledge deficits.

Question 2 of 5.

A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:

A. St. John's wort seldom relieves depression.

B. She should avoid eating aged cheese.

C. Skin reactions increase with the use of sunscreen.

D. The herbal is safe to use with other antidepressants.

Explanation: St. John's wort increases photosensitivity, so sunscreen use may paradoxically increase skin reactions; clients should be cautioned about sun exposure.

Question 3 of 5.

An adolescent client hospitalized with anorexia nervosa is described by her parents as 'the perfect child.' When planning care for the client, the nurse should:

A. Allow her to choose what foods she will eat

B. Provide activities to foster her self-identity

C. Encourage her to participate in morning exercise

D. Provide a private room near the nurse's station

Explanation: Anorexia nervosa is often linked to issues of control and identity; activities fostering self-identity help address underlying psychological factors.

Question 4 of 5.

The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?

A. Zovirax (acyclovir)

B. Varivax (varicella vaccine)

C. VZIG (varicella-zoster immune globulin)

D. Periactin (cyproheptadine)

Explanation: Acyclovir (Zovirax) is an antiviral that can reduce the severity and duration of chickenpox symptoms, including lesions, fever, and itching.

Question 5 of 5.

The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:

A. Preventing spasticity associated with cord injury

B. Decreasing the need for mechanical ventilation

C. Improving motor and sensory functioning

D. Treating post injury urinary tract infections

Explanation: High-dose methylprednisolone within 8 hours of spinal cord injury can improve motor and sensory outcomes by reducing inflammation and edema.