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NCLEX-RN Exam Questions - Part 115
1. A 32-year-old male client is a marketing representative. His job requires him to have a tremendous amount of energy during the day. He frequently uses cocaine to sustain his energy level. Lately he has increased his use of cocaine and even experimented with crack cocaine. Realizing he can no longer continue this destructive behavior, he is seeking treatment for cocaine addiction. In planning nursing care for the clients inpatient stay, which expected outcome is most appropriate?
A) He will attend four consecutive group educational sessions on substance abuse.
B) He will name activities that he would most likely be involved in posttreatment.
C) He will meet with his family in counseling sessions and discuss his feelings.
D) He will be able to deal with his feelings through participation in group therapy sessions.
2. A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
A) 'I should contact my physician if I have headaches after I take this medicine.'
B) 'I should keep the tablets in the refrigerator.'
C) 'I should call the doctor if three doses of the medicine do not relieve my pain.'
D) 'I should take these with water but not with milk.'
3. A client has renal failure. Today - s lab values indicate he has an elevated serum potassium. What additional priority information does the nurse need to obtain?
A) Evaluation of his level of consciousness
B) Evaluation of an electrocardiogram
C) Measurement of his urine output for the past 8 hours
D) Serum potassium lab values for the last several days
4. A clients wife is concerned over his behavior in recent months. He has been diagnosed with Parkinsons disease, and she is telling his nurse that he has been doing 'strange things.' The nurse reassures the wife that the following behavior is normal with Parkinson - s disease:
A) 'Your husband will experience some periods of muscle flaccidity. Be sure to make him sit down during these periods.'
B) 'Your husband may move his hands in motions that look like he is rolling a pill between his fingers.'
C) 'Twitching of the muscles is to be expected and can occur at any time during the day.'
D) 'Parkinson - s disease causes severe pain in the joints. You should give your husband Tylenol at those times.'
5. A male client tells his nurse that he has had an ulcer in the past and is afraid it is 'flaring up again.' The nurse begins to ask him specific questions about his symptoms. The nurse knows that a symptom that might indicate a serious complication of an ulcer is:
A) Pain in the middle of the night
B) A bowel movement every 3 - 5 days
C) Melena
D) Episodes of nausea and vomiting
A) He will attend four consecutive group educational sessions on substance abuse.
B) He will name activities that he would most likely be involved in posttreatment.
C) He will meet with his family in counseling sessions and discuss his feelings.
D) He will be able to deal with his feelings through participation in group therapy sessions.
2. A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
A) 'I should contact my physician if I have headaches after I take this medicine.'
B) 'I should keep the tablets in the refrigerator.'
C) 'I should call the doctor if three doses of the medicine do not relieve my pain.'
D) 'I should take these with water but not with milk.'
3. A client has renal failure. Today - s lab values indicate he has an elevated serum potassium. What additional priority information does the nurse need to obtain?
A) Evaluation of his level of consciousness
B) Evaluation of an electrocardiogram
C) Measurement of his urine output for the past 8 hours
D) Serum potassium lab values for the last several days
4. A clients wife is concerned over his behavior in recent months. He has been diagnosed with Parkinsons disease, and she is telling his nurse that he has been doing 'strange things.' The nurse reassures the wife that the following behavior is normal with Parkinson - s disease:
A) 'Your husband will experience some periods of muscle flaccidity. Be sure to make him sit down during these periods.'
B) 'Your husband may move his hands in motions that look like he is rolling a pill between his fingers.'
C) 'Twitching of the muscles is to be expected and can occur at any time during the day.'
D) 'Parkinson - s disease causes severe pain in the joints. You should give your husband Tylenol at those times.'
5. A male client tells his nurse that he has had an ulcer in the past and is afraid it is 'flaring up again.' The nurse begins to ask him specific questions about his symptoms. The nurse knows that a symptom that might indicate a serious complication of an ulcer is:
A) Pain in the middle of the night
B) A bowel movement every 3 - 5 days
C) Melena
D) Episodes of nausea and vomiting
1. Right Answer: D
Explanation: (A) This expected outcome is specific as related to attendance, but not specific as related to outcome criteria. (B) Stating activities does not guarantee involvement. (C) This goal may help the recovery process, but postcounseling behavior is not addressed. (D) This statement best describes the expected outcome. The client will be attending group therapy sessions and through them he will deal with his feelings.
2. Right Answer: C
Explanation: (A) Headaches may occur after taking nitroglycerin because of vasodilation. (B) The tablets do not need to be refrigerated. The client should carry them with her.(C) The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. (D) Nitroglycerin tablets should be dissolved under the tongue, not swallowed.
3. Right Answer: B
Explanation: (A) The level of consciousness is not affected by elevated potassium levels. (B) An electrocardiogram (EKG) can tell the nurse whether this client is experiencing any cardiac dysfunction or arrhythmias related to the elevated potassium level. (C) Measurement of the urine output is not a priority nursing action at this time. (D)The clients serum potassium values for the past several days may provide information about his renal function, but they are not a priority at this time.
4. Right Answer: B
Explanation: (A) Clients with Parkinsons disease generally experience stiffness and rigid movement. (B) Pill-rolling movements are a symptom experienced by the Parkinson client. (C) Twitching of the muscles is not an expected symptom of Parkinsons disease. (D) Parkinsons disease does not cause joint pain. Mild muscular pain may be present.
5. Right Answer: C
Explanation: (A) Clients with ulcers generally experience abdominal pain. It is common to have pain in the early morning hours with an ulcer. (B) Constipation is not a symptom associated with ulcers and would indicate a need to look at other factors. (C) Melena is blood in the stools. This could indicate a slow bleeding ulcer, which could result in significant amounts of blood loss over time.(D) Nausea and vomiting may be present as a result of the ulcer, especially if it is a gastric ulcer. This does not indicate an immediate life-threatening complication.
Explanation: (A) This expected outcome is specific as related to attendance, but not specific as related to outcome criteria. (B) Stating activities does not guarantee involvement. (C) This goal may help the recovery process, but postcounseling behavior is not addressed. (D) This statement best describes the expected outcome. The client will be attending group therapy sessions and through them he will deal with his feelings.
2. Right Answer: C
Explanation: (A) Headaches may occur after taking nitroglycerin because of vasodilation. (B) The tablets do not need to be refrigerated. The client should carry them with her.(C) The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. (D) Nitroglycerin tablets should be dissolved under the tongue, not swallowed.
3. Right Answer: B
Explanation: (A) The level of consciousness is not affected by elevated potassium levels. (B) An electrocardiogram (EKG) can tell the nurse whether this client is experiencing any cardiac dysfunction or arrhythmias related to the elevated potassium level. (C) Measurement of the urine output is not a priority nursing action at this time. (D)The clients serum potassium values for the past several days may provide information about his renal function, but they are not a priority at this time.
4. Right Answer: B
Explanation: (A) Clients with Parkinsons disease generally experience stiffness and rigid movement. (B) Pill-rolling movements are a symptom experienced by the Parkinson client. (C) Twitching of the muscles is not an expected symptom of Parkinsons disease. (D) Parkinsons disease does not cause joint pain. Mild muscular pain may be present.
5. Right Answer: C
Explanation: (A) Clients with ulcers generally experience abdominal pain. It is common to have pain in the early morning hours with an ulcer. (B) Constipation is not a symptom associated with ulcers and would indicate a need to look at other factors. (C) Melena is blood in the stools. This could indicate a slow bleeding ulcer, which could result in significant amounts of blood loss over time.(D) Nausea and vomiting may be present as a result of the ulcer, especially if it is a gastric ulcer. This does not indicate an immediate life-threatening complication.
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