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NCLEX RN Predictor Exam Questions

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Question 1 of 5

A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?

Correct Answer: A

Rationale: A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to 'do it herself.' A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. Watching television may be a favorite activity, but it does not foster autonomy.

Question 2 of 5

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?

Correct Answer: D

Rationale: This response does not acknowledge the client's feelings. This is a closed question and does not encourage communication. This response negates the client's feelings and does not require a response from the client. This acknowledges the client's implied thoughts and feelings and encourages a response.

Question 3 of 5

The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?

Correct Answer: A

Rationale: Ectopic pregnancy causes sudden abdominal pain from tubal stretching or rupture. Painless bleeding is more typical of placenta previa fetal heart tones are absent and fever is not common.

Question 4 of 5

A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:

Correct Answer: A

Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.

Question 5 of 5

The nurse is planning for discharge teaching to a client after a total hip replacement. Which teaching points will be included?

Question Image

Correct Answer: A, B, C, D

Rationale: Hip replacement teaching includes avoiding leg separation (
A), maintaining hydration/fiber (
B), monitoring for dislocation signs (
C), and limiting hip flexion (
D). Sleeping on affected side (E) is not advised to prevent dislocation.

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