Sample NCLEX Questions l Nursing Board Exam Question Part 10

1.) An 85-year-old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert, oriented, cooperative, and knowledgeable about his surgery. Several hours after surgery, the evening nurse found him acutely confused, agitated, and trying to climb over the protective side rails on his bed. The most appropriate nursing intervention that will calm an agitated client is
1.Limit visits by staff.
2.Encourage family phone calls.
3.Position in a bright, busy area.
4.Speak soothingly and provide quiet music.

Answer no. 4
Rationale:
The environment is an important factor in the prevention of injuries. Talking softly and providing quiet music have a calming effect on the agitated client.

2.) A young man with newly diagnosed acquired immune deficiency syndrome (AIDS) is being discharged from the hospital. The nurse knows that teaching regarding prevention of AIDS transmission has been effective when the client:
1.Verbalizes the role of sexual activity in spread of the disorder.
2.States he will make arrangements to drop his college classes.
3.Acknowledges the need to avoid all contact sports.
4.Says he will avoid close contact with his three-year-old niece.

Answer no.1
Rationale:
The AIDS virus is spread through direct contact with body fluids such as blood and through sexual intercourse.

3.) An infant has just been delivered with a myelomeningocele. The infant is immediately transferred to the nursery. The nurse should place the infant in what position?
1.Semi-sitting with support of an infant seat.
2.Side-lying with his head lower than the rest of his body to promote drainage.
3.Supine to place counterpressure on the defect.
4.Prone to reduce the risk of rupture and infection.

Answer no. 4
Rationale:
Prone is the best position for minimal pressure on the defect. Rupture presents a surgical emergency and all efforts are taken to avoid it.

4.) Which of the following assessments made by the nurse would be essential in understanding behavior of a client with a conversion disorder?
1.Physical symptoms are not under voluntary control.
2.Physical symptoms are under voluntary control but without intent to reduce secondary gain.
3.Physical symptoms are experienced as a means to manipulate others to meet narcissistic needs.
4.Physical symptoms are produced through purposeful means to reduce anxiety and maintain dependency.

Answer no. 1
Rationale:
Conversion disorder is loss or alteration in physical functioning due to psychological causes, but the symptoms are not produced on a conscious level. Symptoms cannot be explained as resulting from an organic physical disorder.

5.) The nurse is to give medication to an infant. What is the best way to assess the identity of the infant?
1.Ask the mother what the child’s name is.
2.Look at the sign above the bed that states the client’s name.
3.Compare the bed number with the bed number of the care plan.
4.Compare the ankle band with the name on the care plan.

Answer no. 4
Rationale:
Making sure that the client’s name is the same as the name on the medication plan is the only safe way to administer medications.