Test Prep NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Exam

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Total 862 questions

In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?

  • A. Right coronary artery
  • B. Left main coronary artery
  • C. Circumflex coronary artery
  • D. Left anterior descending coronary artery


Answer : A

Explanation:
(A) Sinus bradycardia and atrioventricular (AV) heart block are usually a result of right coronary artery occlusion. The right coronary artery perfuses the sinoatrial and AV nodes in mostindividuals. (B) Occlusion of the left main coronary artery causes bundle branch blocks and premature ventricular contractions. (C) Occlusion of the circumflex artery does not cause bradycardia. (D) Sinus tachycardia occurs primarily with left anterior descending coronary artery occlusion because this form of occlusion impairs left ventricular function.

The priority nursing goal when working with an autistic child is:

  • A. To establish trust with the child
  • B. To maintain communication with the family
  • C. To promote involvement in school activities
  • D. To maintain nutritional requirements


Answer : A

Explanation:
(A) The priority nursing goal when working with an autistic child is establishing a trusting relationship. (B) Maintaining a relationship with the family is important but having the trust of the child is a priority. (C) To promote involvement in school activities is inappropriate for a child who is autistic. (D) Maintaining nutritional requirements is not the primary problem of the autistic child.

Signs and symptoms of an allergy attack include which of the following?

  • A. Wheezing on inspiration
  • B. Increased respiratory rate
  • C. Circumoral cyanosis
  • D. Prolonged expiration


Answer : D

Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.

Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?

  • A. Diaphanography
  • B. Mammography
  • C. Thermography
  • D. Breast tissue biopsy


Answer : D

Explanation:
(A) Diaphanography, also known as transillumination, is a painless, noninvasive imaging technique that involves shining a light source through the breast tissue to visualize the interior. It must be used in conjunction with a mammogram and physical examination. (B)
Mammography is a useful tool for screening but is not considered a means of diagnosing breast cancers. (C) Thermography is a pictorial representation of heat patterns on the surface of the breast. Breast cancers appear as a hot spot owing to their higher metabolic rate. (D) Biopsy either by needle aspiration or by surgical incision is the primary diagnostic technique for confirming the presence of cancer cells.

A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, My doctor is in love with me and wants to marry me. This client is using which of the following defense mechanisms?

  • A. Displacement
  • B. Projection
  • C. Reaction formation
  • D. Suppression


Answer : B

Explanation:
(A) Displacement involves transferring feelings to a more acceptable object. (B) Projection involves attributing ones thoughts or feelings to another person. (C) Reaction formation involves transforming an unacceptable impulse into the opposite behavior. (D) Suppression involves the intentional exclusion of unpleasant thoughts or experiences.

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Total 862 questions