NCLEX-RN Exam

Home / Nursing & Allied Health Certifications / NCLEX RN

Question 1 of 5.

The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, 'It's not so easy for me to just go right to the hospital like that.' After acknowledging her feelings, which of these approaches by the nurse would probably be best?

A. Stress to the client that her husband would want her to do what is best for her health.

B. Explore with the client her perceptions of why she is unable to go to the hospital.

C. Repeat the physician's reasons for advising immediate hospitalization.

D. Explain to the client that she is ultimately responsible for her own welfare and that of her baby.

Explanation: This answer does not hold the client accountable for her own health. The nurse should explore potential reasons for the client's anxiety: are there small children at home, is the husband out of town? The nurse should aid the client in seeking support or interventions to decrease the anxiety of hospitalization. Repeating the physician's reason for recommending hospitalization may not aid the client in dealing with her reasons for anxiety. The concern for self and welfare of baby may be secondary to a woman who is in a crisis situation. The nurse should explore the client's potential reasons for anxiety. For example, is there another child in the home who is ill, or is there a husband who is overseas and not able to return on short notice?

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.