Nclex Practice Questions 2024

Nclex Practice Questions 2024 Related

Review Nclex Practice Questions 2024 related questions and content

What is an effective intervention for a client diagnosed with Obsessive-Compulsive Disorder?

  • A. Discussing the repetitive actions.
  • B. Insisting the client not perform the repetitive act.
  • C. Informing the client that the act is not necessary.
  • D. Encouraging daily exercise.
Correct Answer: D

Rationale: An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is encouraging daily exercise. Obsessive-Compulsive Disorder is an anxiety disorder, and exercise can help release emotional energy, limit the time available for maladaptive behaviors, and direct the client's attention outward. Discussing the repetitive actions (choice A) may reinforce the behavior by providing attention to it. Insisting the client not to perform the repetitive act (choice B) can increase anxiety and resistance, as abruptly stopping the behavior may be challenging. Informing the client that the act is not necessary (choice C) may not address the underlying anxiety and could invalidate the client's experiences, leading to increased distress. Encouraging daily exercise is a proactive intervention that can help manage symptoms of Obsessive-Compulsive Disorder by addressing core features of the disorder and promoting overall well-being.

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The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

  • A. Assessment of the client's level of anxiety
  • B. Evaluation of the client's exercise tolerance
  • C. Identification of peripheral pulses
  • D. Assessment of bowel sounds and activity
Correct Answer: C

Rationale: The most crucial assessment during the preoperative period for a client with a sacular abdominal aortic aneurysm scheduled for surgical repair is the identification of peripheral pulses. During surgery, the aorta will be clamped, potentially affecting blood circulation to the kidneys and lower extremities. Therefore, it is essential for the nurse to assess peripheral pulses and monitor the return of circulation to the lower extremities postoperatively. Assessing the client's level of anxiety (Choice A) is important but not as crucial as ensuring adequate circulation. Evaluating exercise tolerance (Choice B) is not recommended preoperatively for this situation. Assessing bowel sounds and activity (Choice D) is of lesser concern compared to the critical need to monitor peripheral circulation.

The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

  • A. Grimacing and writhing movements decrease with relaxation and rest.
  • B. Hypoactive deep tendon reflexes become more active with rest.
  • C. Stretch reflexes are increased with rest.
  • D. Fine motor movements are improved.
Correct Answer: A

Rationale: Frequent rest periods help to relax tense muscles and preserve energy in clients with cerebral palsy. This can lead to a decrease in grimacing and writhing movements, as relaxation and rest help to alleviate muscle tension. Choices B, C, and D are incorrect because they provide inaccurate information. Hypoactive deep tendon reflexes do not become more active with rest; stretch reflexes are not increased with rest in cerebral palsy patients, and fine motor movements are not necessarily improved solely by rest.

Which of the following statements is correct regarding rape?

  • A. Most rapes go unreported.
  • B. Legally, a woman can be raped by her spouse.
  • C. Prosecuting and convicting for rape can be challenging.
  • D. Rape can occur in different locations.
Correct Answer: B

Rationale: The correct statement is that legally, a woman can be raped by her spouse. Rape is defined as sexual intercourse against someone's will, and it can occur between any two persons regardless of their relationship, including spouses. Choice A is incorrect as most rapes are not reported due to various reasons like fear, shame, or distrust in the legal system. Choice C is incorrect as prosecuting and convicting for rape can be challenging due to factors like lack of evidence, societal biases, and victim blaming. Choice D is incorrect as the most common location of rape is not necessarily the victim's own home; it can happen in various settings such as public places, workplaces, or social gatherings.

A 24-year-old female client is scheduled for surgery in the morning. What is the primary responsibility of the nurse?

  • A. Taking the vital signs
  • B. Obtaining the permit
  • C. Explaining the procedure
  • D. Checking the lab work
Correct Answer: A

Rationale: The primary responsibility of the nurse is to take the vital signs before any surgery. This action helps assess the client's baseline condition and identify any abnormalities that need addressing before the procedure. Obtaining the permit (choice B) is typically handled by administrative staff, explaining the procedure (choice C) is usually done by the healthcare provider performing the surgery, and checking the lab work (choice D) is often part of the pre-operative assessment conducted by the healthcare provider. Therefore, in this context, these actions are not the primary responsibility of the nurse.

If the client is receiving peritoneal dialysis and the dialysate returns cloudy, what should the nurse do?

  • A. Document the finding
  • B. Send a specimen to the lab
  • C. Strain the dialysate
  • D. Obtain a complete blood count
Correct Answer: B

Rationale: When the dialysate returns cloudy, it could indicate the presence of infection, and sending a specimen to the lab for evaluation is crucial to determine the cause. Documenting the finding alone, as in choice A, may not provide enough information for proper intervention. Straining the dialysate, as in choice C, is not a standard practice and may not help identify the underlying issue. Obtaining a complete blood count, as in choice D, is not directly related to addressing cloudiness in the dialysate. However, the healthcare provider might order a white blood cell count to assess for infection.

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