Sample NCLEX Questions l Nursing Board Exam Question Part 8

1.) Which of the following statements best indicates that the client understands the nurse’s teaching about effective coping mechanisms?
1.”Talking to you really helped me put things into perspective.”
2.”Talking to you really helped me solve my problems.”
3.”I don’t have time at home to do the relaxation techniques.”
4.”The relaxation techniques helped me to go right to sleep.”

Answer no. 1
Rationale:
The client learned a method to use in dealing with problems/ stressors such as verbalization rather than looking to quick and sometimes superficial answers to problems.

2.) The nurse is teaching an adult who has ulcerative colitis. In developing the teaching plan which of the following foods should the nurse plan to instruct the client to avoid?
1.Roast chicken and cooked spinach.
2.Broiled liver and white rice.
3.Cottage cheese and canned apricots.
4.Pork chop and brown rice.

Answer no. 4
Rationale:
Persons with ulcerative colitis should be on a low-fiber (low- residue) diet. This diet will provide the essential nutrients and is limited in high roughage content which stimulates peristalsis and makes symptoms of ulcerative colitis worse. Foods to be avoided include whole grains, nuts, raw fruits and vegetables, caffeine, alcohol, tough meats, pork, and highly spiced meats.

3.)Harry, 23 years old, is admitted to the hospital after having taken LSD. What should the nurse assess for?
1.Dilated pupils, flushing, and tremors.
2.Pupillary constriction, constipation, and slepiness.
3.Tremors, muscular weakness, and mask-like face.
4.Vertical and horizontal nystagmus.

Answer no. 1
Rationale:
Dilated pupils, flushing, and tremors are seen in persons taking hallucinogens.

4.) A child who has swallowed several aspirin is admitted to the emergency room. Aquamephyton is ordered. The nurse explains to the child’s mother that it is given to
1.Promote metabolism of aspirin.
2.Prevent bleeding.
3.Decrease absorption of aspirin.
4.Prevent hepatotoxicity.

Answer no. 2
Rationale:
Aquamephyton is vitamin K, which promotes clotting. Aspirin is an anticoagulant.

5.) The nurse is caring for a client with a newly implanted pacemaker. When monitoring pacemaker functioning, which of the following should the nurse initially assess?
1.Electrocardiogram
2.Pulse
3.Blood pressure
4.Incision site

Answer no. 1
Rationale:
The ECG reflects the heart rate and rhythm. Pacer spikes and dysrhythmias will be visible. It is the initial and most informative step in assessing pacemaker functioning.