NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 24-year-old woman who is gravida 1 reports, 'I can't take iron pills because they make me sick.' She continues, 'My bowels aren't moving either.' In counseling her based on these complaints, the nurse's most appropriate response would be, 'It would be beneficial for you to eat . . .
Correct Answer: A
Rationale: Prunes provide fiber to decrease constipation and are an excellent source of dietary iron, as the prenatal client is not taking her supplemental iron and iron-deficiency anemia is common during pregnancy. Green leafy vegetables provide a source of fiber and iron; however, prunes are a better source of both. Red meat is a good iron source but will not address the constipation problem. Eggs are a good iron source but do not address the constipation problem.
Question 2 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.
Question 3 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 4 of 5
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
Correct Answer: C
Rationale: Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2 that is an end product of carbohydrate metabolism. Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.
Question 5 of 5
The nurse is caring for a client with a history of hyperthyroidism. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hyperthyroidism increases metabolism, leading to weight loss, heat intolerance, and tachycardia, a common clinical finding.