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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q423-Q428):

NEW QUESTION # 423
The nurse observes a client crying quietly. She has just experienced a spontaneous abortion at nine weeks' gestation. An appropriate response by the nurse would be:

A. "I'm sure your other children will be a comfort for you."
B. "It must be God's will and probably is for the best."
C. "Don't worry, you're still young. If I were you I'd just try again."
D. "This must be a difficult time for you. Would you like to talk about it?"

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This response is nontherapeutic because it belittles the client's response and gives a meaningless rationalization. (B) This response acknowledges the client's feelings and demonstrates the therapeutic offering of self by the nurse. (C) This response is nontherapeutic because it does not focus on the client's feelings and offers false reassurance. (D) This response is nontherapeutic because it belittles the client's feelings and offers her advice.

NEW QUESTION # 424
A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse's primary goal is to:

A. Provide a demanding and challenging educational program
B. Facilitate optimal development
C. Prepare child to enter mainstream education
D. Provide respite care for the mother

Answer: B

Explanation:
Explanation
(A) Respite care for the family may be needed, but it is not the primary goal of a preschool program. (B) Facilitation of optimal growth and development is essential for every child. (C) A demanding and challenging educational program may predispose the child to failure. Children with retardation should begin with simple and challenging educational programs. (D) Mental retardation associated with Down syndrome may not permit mainstream education. A preschoolprogram's primary goal is not preparation for mainstream education but continuation of optimal development.

NEW QUESTION # 425
A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His family states that he has not slept, eaten, or taken fluids for the past 24 hours. The planning of nursing care for a delirious client is based on which of the following premises?

A. Delirium is an insidious process.
B. The delirious client is capable of returning to his previous level of functioning.
C. The delirious client is incapable of returning to his previous level of functioning.
D. Delirium entails progressive intellectual and behavioral deterioration.

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is correct. If the cause is removed, the delirious client will recover completely. (B) This answer is incorrect. The demented client is incapable of returning to previous level of functioning. The delirious client is capable of returning to previous functioning. (C) This answer is incorrect. The demented client, not the delirious client, has progressive intellectual and behavioral deterioration. (D) This answer is incorrect. Delirium develops rapidly, whereas dementia is insidious.

NEW QUESTION # 426
The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:

A. "If I had not worn that sexy dress that night, he wouldn't have raped me."
B. "I know now that it was not my fault, but I want to continue counseling after my discharge."
C. "I know it was my fault that it happened, because I shouldn't have been out so late."
D. "I know my date just had so much passion he couldn't handle me saying 'no.' "

Answer: B

Explanation:
Explanation
(A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapist's behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.

NEW QUESTION # 427
The mother of a preschooler reports to the nurse that he frequently tells lies. The admission assessment of the child indicates possible child abuse. The nurse knows that his:

A. Behavior is not normal, and a child psychiatrist should be consulted.
B. Mother is lying to protect herself.
C. Behavior indicates a developmental delay, because preschoolers should be able to tell right from wrong.
D. Lying is normal behavior for a preschool child who is learning to separate fantasy from reality.

Answer: D

Explanation:
Explanation
(A) Because preschoolers often tell "stories" as they learn to differentiate fantasy from reality, the child's behavior is normal. (B) The nurse has no reason to believe the child's mother is lying, because children of his age often tell lies. (C) The child's lying is actually "storytelling" as he learns to separate fantasy from reality, a normal developmental task for his age group. (D) The child's behavior is consistent with his age and does not indicate a developmental delay.

NEW QUESTION # 428
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