Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow
Student Elements

NCLEX Review

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1:  The nurse is caring for a patient who is confused in association with a neurological disorder. Which approach by the nurse would be most helpful for the patient?
A: Provide detailed explanations of medical procedures.
B: Increase environmental stimuli by turning on the television.
C: Keep familiar items at the bedside such as pictures.
D: Medicate the patient with an antipsychotic as needed.

2:  A failed resuscitation attempt occurred for a patient whom a new nurse had frequently cared for. This was the first time a nurse had been involved in a resuscitation. The nurse confides to a colleague that she cannot stop thinking about the resuscitation and was unable to sleep last night. Which statement would be most therapeutic for the colleague to make?
A: "Why don't we take some time to talk about what happened?"
B: "Maybe you had better schedule an appointment with a psychiatrist."
C: "It's hard at first but you will get used to these things."
D: "Don't worry. We all go through these feelings; they will pass."

3:  An intervention is scheduled for a nurse who is abusing alcohol. Which coping mechanism are the people involved in the intervention most likely to observe the nurse using?
A: Projection.
B: Rationalization.
C: Repression.
D: Denial.

4:  A mental health nurse has been counseling a victim of spousal, physical violence for 1 week since the patient's discharge from an acute care facility. Which short-term outcome is the most appropriate goal for this patient?
A: Resolution of fears related to the incident.
B: Participation in the treatment plan.
C: Confrontation and incorporation of the abuser into the treatment plan.
D: Effective implementation of new coping skills.

5:  The nurse is caring for a patient with presbycusis. Which intervention would be most appropriate for the nurse to use when caring for this patient?
A: Speak loudly and into the patient's good ear.
B: Use pictures and sign language.
C: Speak directly to the patient in a normal, clear voice.
D: Face the patient directly and speak very slowly.

6:  A patient with chronic mental health problems has been making progress with treatment. During the most recent visit to the clinic, however, the patient tells the nurse he lost his job and feels useless because he is unable to provide for the family. Which nursing diagnosis would be most appropriate for this patient?
A: Anxiety.
B: Situational low self-esteem.
C: Social isolation.
D: Caregiver role strain.

7:  Which statement by a patient would indicate that the patient is adapting well to changes in functional status after experiencing a spinal cord injury?
A: "My wife tries to get me to go to the grocery store, but I don't like to go out much."
B: "I have been using the modified feeding utensils at every meal. I still have spills, but I'm getting better."
C: "I tire easily when I use my wheelchair just around the house. I know I would get tired if I tried to leave the house."
D: "I have all the equipment to take a shower, but I prefer a bed bath, because it is easier."

8:  At which developmental stage would the nurse expect to identify the clinical manifestations of autism?
A: Neonate.
B: Toddler.
C: Middle age.
D: Geriatric.

9:  The psychiatric mental health nurse has referred a patient with an alcohol addiction to a 12-step Alcoholics Anonymous program. What is the first step of the 12-step program?
A: Admission that a drinking problem exists.
B: Detoxification from the addictive substance.
C: Identification of stimuli that promote drinking.
D: Inclusion of the family in counseling sessions.

10:  A patient is diagnosed with attention-deficit hyperactivity disorder. What are the most common clinical manifestations of this disorder?
A: Avoidance, generalized emotional numbing, and withdrawal.
B: Periods of abnormally elevated moods, hyperactivity, and insomnia.
C: Difficulty concentrating, excessive anxiety, and inattention.
D: Inattention, hyperactivity, and impulsivity.

11:  Which statement by a nurse in response to a patient would be an example of a reflective question or comment?
A: "You've been upset about your blood pressure."
B: "What time do you take your medication?"
C: "How do you feel when you take the medication?"
D: "Tell me what occurred first--did your symptoms occur before or after you took the medication?"

12:  The nurse is providing smoking cessation information to a patient. Which statement by the patient would indicate a need for further education?
A: "Now that I have made the decision to quit smoking, I plan to go to the bar where I always used to smoke to see if I am strong enough to quit."
B: "I will distract myself by working on my woodworking hobby."
C: "I will call someone I know who has quit if I develop the urge to have a cigarette."
D: Caregiver role strain.

13:  Which situation provides an example of a chronic, intermittent stressor?
A: A 68-year-old patient who is diagnosed with viral pneumonia.
B: A 22-year-old patient with type 1 diabetes.
C: A 59-year-old patient who is diagnosed with Stage II Alzheimer's disease.
D: A 40-year-old patient with genital herpes.

14:  In which situation is the patient most likely to experience anticipatory grieving?
A: A patient finds out that her symptoms were from an ectopic pregnancy.
B: The patient experiences traumatic amputation of an extremity in an industrial accident.
C: A patient is brought into the Emergency Room and declared brain dead.
D: After diagnostic testing, a patient is diagnosed with metastatic liver cancer.

15:  A patient was rescued from an apartment building a week after Hurricane Katrina. The patient's elderly mother died during the disaster. One year after the event, the patient presents to the outpatient mental health clinic with nightmares about being in the hurricane, feelings of survivor guilt, and increased difficulty concentrating. Which problem are the patient's symptoms clearly an example of?
A: Generalized anxiety disorder.
B: Post-traumatic stress syndrome.
C: Acute stress disorder.
D: Dissociative identity syndrome.

16:  A 25-year-old woman is a victim of domestic violence. Which problem related to self-concept is she most likely to be at risk for?
A: Personal identity disturbance.
B: Body image disturbance.
C: Altered role performance.
D: Self-esteem disturbance.

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
Your Name:
Instructor's E-mail Address:
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