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NCLEX-RN EXAM QUESTION BANK | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
QUESTION 13
When evaluating a client with symptoms of shock, it is important for the
nurse to differentiate between neurogenic and hypovolemic shock. The
symptoms of neurogenic shock differ from hypovolemic shock in that:
A. In neurogenic shock, the skin is warm and dry
B. In hypovolemic shock, there is a bradycardia
C. In hypovolemic shock, capillary refill is less than 2 seconds
D. In neurogenic shock, there is delayed capillary refill
Answer:
A
Explanat
i on:
(A) Neurogenic shock is caused by injury to the cervical region, which
leads to loss of sympathetic control. This loss leads to vasodilation
of the vascular beds, bradycardia resulting from the lack of
sympathetic balance to parasympathetic stimuli from the vagus
nerve, and the loss of the ability to sweat below the level of
injury. In neurogenic shock, the client is hypotensive but
bradycardiac with warm, dry skin. (B) In hypovolemic shock, the
client ishypotensive and tachycardiac with cool skin. (C) In
hypovolemic shock, the capillary refill would be>5 seconds. (D) In
neurogenic shock, there is no capillary delay, the vascular beds are
dilated, and peripheral flow is good.
QUESTION 29
The nurse would expect to include which of the following when planning
the management of the client with Lyme disease?
,Page 2 of 949
A. Complete bed rest for 6–8 weeks
B. Tetracycline treatment
C. IV amphotericin B
D. High-protein diet with limited fluids
Answer:
B
Explanat
i on:
(A) The client is not placed on complete bed rest for 6 weeks. (B)
Tetracycline is the treatment of choice for children with Lyme disease
who are over the age of 9. (C) IV amphotericin B is the treatment for
histoplasmosis.
(D) The client is not restricted to a high-protein diet with limited fluids.
QUESTION 14
A 55-year-old man is admitted to the hospital with complaints of fatigue,
jaundice, anorexia, and clay-colore» stools. His a»mittiny »iaynosis is
“rule out hepatitis.” Laboratory studies reveal elevated liver enzymes and
bilirubin. In obtaining his health history, the nurse should assess his
potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this
disease?
,A. Heterosexual males
B. Oncology nurses
C. American Indians
D. Jehovah’s Witnesses
Answer:
B
Explanat
i on:
(A) Homosexual males, not heterosexual males, are at high risk for contracting
hepatitis.
(B) Oncology nurses are employed in high-risk areas and perform
invasive procedures that expose them to potential sources of
infection. (C) The literature
does not support the idea that any ethnic groups are at higher risk. (D)
There is no evidence that any religious groups are at higher risk.
QUESTION 15
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 an» wants to marry me.” This client
is usiny which of the followiny »efense mechanisms?
, A. Displacement
B. Projection
C. Reactionformation
D. Suppression
Answer:
B
Explanat
i on:
(A) Displacement involves transferring feelings to a more acceptable
object. (B) Projection involves attributiny one’s thouyhts or feelinys 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.
QUESTION 16
When teaching a sex education class, the nurse identifies the most common
STDs in the United States as:
A. Chlamydia
B. Herpes genitalis
C. Syphilis
D. Gonorrhea
Answer:
A
Explanat
i on:
(A) Chlamydia trachomatis infection is the most common STD in the
United States. The Centers for Disease Control and Prevention
recommend screening of all high-risk women, such as adolescents and
women with multiple sex partners. (B) Herpes simplex genitalia is
estimated to be found in 5–20 million people in the United States and is
rising in occurrence yearly. (C) Syphilis is a chronic infection caused by
NCLEX-RN EXAM QUESTION BANK | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
QUESTION 13
When evaluating a client with symptoms of shock, it is important for the
nurse to differentiate between neurogenic and hypovolemic shock. The
symptoms of neurogenic shock differ from hypovolemic shock in that:
A. In neurogenic shock, the skin is warm and dry
B. In hypovolemic shock, there is a bradycardia
C. In hypovolemic shock, capillary refill is less than 2 seconds
D. In neurogenic shock, there is delayed capillary refill
Answer:
A
Explanat
i on:
(A) Neurogenic shock is caused by injury to the cervical region, which
leads to loss of sympathetic control. This loss leads to vasodilation
of the vascular beds, bradycardia resulting from the lack of
sympathetic balance to parasympathetic stimuli from the vagus
nerve, and the loss of the ability to sweat below the level of
injury. In neurogenic shock, the client is hypotensive but
bradycardiac with warm, dry skin. (B) In hypovolemic shock, the
client ishypotensive and tachycardiac with cool skin. (C) In
hypovolemic shock, the capillary refill would be>5 seconds. (D) In
neurogenic shock, there is no capillary delay, the vascular beds are
dilated, and peripheral flow is good.
QUESTION 29
The nurse would expect to include which of the following when planning
the management of the client with Lyme disease?
,Page 2 of 949
A. Complete bed rest for 6–8 weeks
B. Tetracycline treatment
C. IV amphotericin B
D. High-protein diet with limited fluids
Answer:
B
Explanat
i on:
(A) The client is not placed on complete bed rest for 6 weeks. (B)
Tetracycline is the treatment of choice for children with Lyme disease
who are over the age of 9. (C) IV amphotericin B is the treatment for
histoplasmosis.
(D) The client is not restricted to a high-protein diet with limited fluids.
QUESTION 14
A 55-year-old man is admitted to the hospital with complaints of fatigue,
jaundice, anorexia, and clay-colore» stools. His a»mittiny »iaynosis is
“rule out hepatitis.” Laboratory studies reveal elevated liver enzymes and
bilirubin. In obtaining his health history, the nurse should assess his
potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this
disease?
,A. Heterosexual males
B. Oncology nurses
C. American Indians
D. Jehovah’s Witnesses
Answer:
B
Explanat
i on:
(A) Homosexual males, not heterosexual males, are at high risk for contracting
hepatitis.
(B) Oncology nurses are employed in high-risk areas and perform
invasive procedures that expose them to potential sources of
infection. (C) The literature
does not support the idea that any ethnic groups are at higher risk. (D)
There is no evidence that any religious groups are at higher risk.
QUESTION 15
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 an» wants to marry me.” This client
is usiny which of the followiny »efense mechanisms?
, A. Displacement
B. Projection
C. Reactionformation
D. Suppression
Answer:
B
Explanat
i on:
(A) Displacement involves transferring feelings to a more acceptable
object. (B) Projection involves attributiny one’s thouyhts or feelinys 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.
QUESTION 16
When teaching a sex education class, the nurse identifies the most common
STDs in the United States as:
A. Chlamydia
B. Herpes genitalis
C. Syphilis
D. Gonorrhea
Answer:
A
Explanat
i on:
(A) Chlamydia trachomatis infection is the most common STD in the
United States. The Centers for Disease Control and Prevention
recommend screening of all high-risk women, such as adolescents and
women with multiple sex partners. (B) Herpes simplex genitalia is
estimated to be found in 5–20 million people in the United States and is
rising in occurrence yearly. (C) Syphilis is a chronic infection caused by
