NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:
Correct Answer: A
Rationale: Disorientation is the first sign of sepsis in burn children. Low-grade fever is not indicative of sepsis. Diarrhea is not indicative of sepsis. Hypertension is not indicative of sepsis.
Question 2 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. The other options describe hyperthyroidism or mixed symptoms.
Question 3 of 5
In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?
Correct Answer: B
Rationale: Haloperidol is an antipsychotic medication and may be used until the lithium takes effect.
Question 4 of 5
A client with a hemorrhagic stroke has a temperature of 103°F. Efforts to reduce the temperature have not been effective. The most likely explanation for the elevated temperature is that damage has occurred to the:
Correct Answer: A
Rationale: The hypothalamus regulates body temperature. Damage from a hemorrhagic stroke can impair this function, leading to persistent hyperthermia. The pituitary manages hormones, carotid baroreceptors regulate blood pressure, and the frontal lobe controls behavior, none of which directly affect temperature.
Question 5 of 5
The nurse is teaching a client with a history of type 1 diabetes about sick day management. The nurse should tell the client to:
Correct Answer: A
Rationale: Frequent blood glucose monitoring during illness prevents hypo- or hyperglycemia in type 1 diabetes.