Hurst NCLEX Exam Review Questions
and Answers
after administering an oral analgesic the client states that the pain is better but
continues to report a backache. which action may directly help the client's backache
(SATA)
a. educating the client regarding pain and pain control
b.assisting the client into a side lying position
c. providing a back massage
d. provide heat therapy
e. reporting to the primary healthcare provider the client's report of pain - correct
answer-b,c,d
b.assisting the client into a side lying position
c. providing a back massage
d. provide heat therapy
a+e are incorrect because a: education regarding pain control does not directly health
the client's report of pain
and e: reporting to the PCP does not directly help the client's report of pain
what signs and symptoms would the nurse expect to assess in a client diagnosed with
tabes dorsalis neurosyphilis due to untreated syphilis (SATA)
1. abnormal gait
2. blindness
3. hyperreflexia
4. stiff neck
5. hearing loss - correct answer-1+2
symptoms of tabes dorsalis are caused by damage to the nervous system. problems
walking occur such as an abnormal gait or inability to walk at all . vision changes can
occur. blindness is a complication of tabes dorsalis. can see diminished reflexes
what is - correct answer-
what is a normal aPTT?
WBC? - correct answer-- 20-36 seconds
- 5,000-10,000
, a nurse suspects that a client admitted to the ED is in DKA. what data would lead the
nurse to this conclusion (SATA)
1. dry mucous membranes
2. fruity-smelling breath
3. biot's respirations
4. glycosuria
5. abdominal pain - correct answer-1,2,4,5
the client will have signs of dehydration due to polyuria including dry mucous
membranes.
fruity breath is from the acetone that occurs with breakdown of fats and formation of
ketone.
vomiting and abdominal pain are frequently the presenting symptoms of DKA
What are delusions of grandeur? - correct answer-- thoughts that the person has
exaggerated power or importance
- pt believes they are a deity, have special powers, rare abilities or hidden talents
- feel they should be praised and publicly recognized for these powers
a patient is exhibiting psychotic symptoms. the patient tells the nurse that she must bow
down to him because he been anointed by the gods. what type of delusion is this patient
experiencing - correct answer-delusion of grandeur
what type of defense mechanism is symbolism - correct answer-the unconscious
process by which one object or idea comes to represent another
a patient with body dysmorphic disorder states that her ears are ugly what type of
defense mechanism is this - correct answer-symbolism
- the patient ears symbolize everything distasteful and unacceptable
what is the defense mechanism of projection - correct answer-unconscious process by
which an individual attributes one's own intolerable wishes, emotions, or motivations to
another person
what type of defense mechanism is this:
the patient states that I the nurse wants to kill the other patients but in reality the patient
wants to kill the other patients - correct answer-projection
what kind of defense mechanism is described below:
a person is very angry becuase they just got laid off of work and is the primary source of
income for their family. The person goes to the gym to workout all his anger - correct
answer-sublimation
and Answers
after administering an oral analgesic the client states that the pain is better but
continues to report a backache. which action may directly help the client's backache
(SATA)
a. educating the client regarding pain and pain control
b.assisting the client into a side lying position
c. providing a back massage
d. provide heat therapy
e. reporting to the primary healthcare provider the client's report of pain - correct
answer-b,c,d
b.assisting the client into a side lying position
c. providing a back massage
d. provide heat therapy
a+e are incorrect because a: education regarding pain control does not directly health
the client's report of pain
and e: reporting to the PCP does not directly help the client's report of pain
what signs and symptoms would the nurse expect to assess in a client diagnosed with
tabes dorsalis neurosyphilis due to untreated syphilis (SATA)
1. abnormal gait
2. blindness
3. hyperreflexia
4. stiff neck
5. hearing loss - correct answer-1+2
symptoms of tabes dorsalis are caused by damage to the nervous system. problems
walking occur such as an abnormal gait or inability to walk at all . vision changes can
occur. blindness is a complication of tabes dorsalis. can see diminished reflexes
what is - correct answer-
what is a normal aPTT?
WBC? - correct answer-- 20-36 seconds
- 5,000-10,000
, a nurse suspects that a client admitted to the ED is in DKA. what data would lead the
nurse to this conclusion (SATA)
1. dry mucous membranes
2. fruity-smelling breath
3. biot's respirations
4. glycosuria
5. abdominal pain - correct answer-1,2,4,5
the client will have signs of dehydration due to polyuria including dry mucous
membranes.
fruity breath is from the acetone that occurs with breakdown of fats and formation of
ketone.
vomiting and abdominal pain are frequently the presenting symptoms of DKA
What are delusions of grandeur? - correct answer-- thoughts that the person has
exaggerated power or importance
- pt believes they are a deity, have special powers, rare abilities or hidden talents
- feel they should be praised and publicly recognized for these powers
a patient is exhibiting psychotic symptoms. the patient tells the nurse that she must bow
down to him because he been anointed by the gods. what type of delusion is this patient
experiencing - correct answer-delusion of grandeur
what type of defense mechanism is symbolism - correct answer-the unconscious
process by which one object or idea comes to represent another
a patient with body dysmorphic disorder states that her ears are ugly what type of
defense mechanism is this - correct answer-symbolism
- the patient ears symbolize everything distasteful and unacceptable
what is the defense mechanism of projection - correct answer-unconscious process by
which an individual attributes one's own intolerable wishes, emotions, or motivations to
another person
what type of defense mechanism is this:
the patient states that I the nurse wants to kill the other patients but in reality the patient
wants to kill the other patients - correct answer-projection
what kind of defense mechanism is described below:
a person is very angry becuase they just got laid off of work and is the primary source of
income for their family. The person goes to the gym to workout all his anger - correct
answer-sublimation
