NCLEX RN Practice Questions Free
Question 1 of 5.
Assessment of severe depression in a client reveals feelings of hopelessness, worthlessness; inability to feel pleasure; sleep, psychomotor, and nutritional alterations; delusional thinking; negative view of self; and feelings of abandonment. These clinical features of the client's depression alert the nurse to prioritize problems and care by addressing which of the following problems first:
A. Nutritional status
B. Impaired thinking
C. Possible harm to self
D. Rest and activity impairment
Explanation: Anorexia and weight loss are problems that need attention in severe depression, but they can be addressed secondary to immediate concerns. Impaired thinking and confusion are problems in severe depression that are addressed with administration of medication, through group and individual psychotherapy, and through activity therapy as motivation and interest increase. Possible harm to self as with suicidal ideation; a suicide plan, means to execute plan; and/or overt gestures or an attempt must be addressed as an immediate concern and safety measures implemented appropriate to the risk of suicide. Rest and activity impairment may take time and further assessment to determine client's sleep pattern and amount of psychomotor retardation with the more immediate concern for safety present.
Question 2 of 5.
A client is admitted with disseminated herpes zoster (shingles). According to the Centers for Disease Control Guidelines for Infection Control:
A. Airborne precautions will be needed.
B. No special precautions will be needed.
C. Only contact precautions will be needed.
D. Droplet precautions will be needed.
Explanation: Disseminated herpes zoster requires airborne precautions because the varicella-zoster virus can spread through respiratory droplets in immunocompromised patients.
Question 3 of 5.
The nurse is caring for an adolescent with a five-year history of bulimia. A common clinical finding in the client with bulimia is:
A. Extreme weight loss
B. Dental caries
C. Hair loss
D. Decreased temperature
Explanation: Frequent vomiting in bulimia exposes teeth to stomach acid, leading to dental caries (tooth decay), a common clinical finding.
Question 4 of 5.
The nurse is providing dietary teaching for a client with hypertension. Which food should be avoided by the client on a sodium-restricted diet?
A. Dried beans
B. Swiss cheese
C. Peanut butter
D. Colby cheese
Explanation: Colby cheese is high in sodium, which should be avoided on a sodium-restricted diet to manage hypertension, unlike the other options, which are lower in sodium.
Question 5 of 5.
The nurse caring for a client with closed chest drainage notes that the collection chamber is full.
A. Add more water to the suction-control chamber.
B. Remove the drainage using a 60 mL syringe.
C. Milk the tubing to facilitate drainage.
D. Prepare a new unit for continuing collection.
Explanation: A full collection chamber requires replacing the chest drainage unit to maintain effective drainage and prevent complications like tension pneumothorax.
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