NCLEX RN Exam Practice
Question 1 of 5.
A nurse is assessing an 82-year-old for depression, because of the client's age, the nurses' assessment should be guided by the fact that:
A. Sadness of mood is usually present but it is masked by other symptoms.
B. Impairment of cognition usually is not present.
C. Psychosomatic tendencies do not tend to dominate.
D. Antidepressant therapies are less effective in older adults.
Explanation: In older adults, depression may present with atypical symptoms, such as somatic complaints or irritability, rather than overt sadness, which can mask the condition.
Question 2 of 5.
The stages of conflict and conflict resolution in the correct sequential order are:
A. Conceptualization
B. Frustration
C. Resolution
D. Taking action
Explanation: The correct sequence of conflict stages is Frustration (B, emotional response), Conceptualization (A, understanding the conflict), Taking action (D, implementing solutions), and Resolution (C, resolving the conflict).
Question 3 of 5.
Select the ethical term that is accurately paired with its brief description.
A. Deontology: The school of ethical thought that requires that only the means to the goal must be ethical.
B. Utilitarianism: The school of ethical thought that requires that only the end goal must be ethical.
C. Deontology: The school of ethical thought that requires that only the end goal must be ethical.
D. Utilitarianism: The school of ethical thought that requires that only the means to the goal must be ethical.
Explanation: Utilitarianism focuses on the outcomes, requiring that the end goal be ethical (maximizing overall good). Deontology emphasizes the ethics of the means, not the end (contrary to A and C).
Question 4 of 5.
Which of these choices contains the six elements necessary for malpractice?
A. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct rather than indirect harm to the client.
B. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
C. Causation, correlation, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
D. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and a medical license.
Explanation: The six elements of malpractice are duty owed, breach of duty, foreseeability, causation, direct harm, and damages . Indirect harm or correlation are not standard elements, and a medical license is irrelevant.
Question 5 of 5.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
A. Use a slide board.
B. Use a mechanical lift.
C. Use a gait belt.
D. Notify the client's doctor that the client cannot be safely transferred by you.
Explanation: For a paralyzed client requiring assistance, a mechanical lift is the safest transfer method, minimizing risk of injury to both the client and staff.
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