NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?
Correct Answer: B
Rationale: Klebsiella pneumonia is caused by gram-negative bacteria. Pneumococcal pneumonia is caused by gram-positive bacteria. Legionella pneumophila pneumonia is a nonbacterial pneumonia. E. coli pneumonia is caused by gram-negative bacteria.
Question 2 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Ectopic pregnancy requires surgical intervention (e.g. salpingectomy) or medical management (e.g. methotrexate) to remove the non-viable pregnancy.
Tocolytics fetal monitoring and antibiotics are not appropriate.
Question 3 of 5
When administering total parenteral nutrition, the nurse should assess the client for signs of rebound hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
Correct Answer: B
Rationale: Rebound hypoglycemia occurs when TPN is stopped abruptly, causing a rapid drop in blood glucose due to persistent insulin release. Tapering the infusion prevents this.
Question 4 of 5
Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:
Correct Answer: B
Rationale: The infant has not ingested any protein immediately after birth, which is necessary to detect excessive serum phenylalanine. It is important that the infant take in 2-3 full days of milk or formula feedings to preclude a false-negative reading. At 2-3 days of age, inadequate milk could have been ingested owing to a delay in the initial feeding. The biochemical buildup of serum phenylalanine is detectable after 2-3 days of milk or formula ingestion.
Question 5 of 5
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
Correct Answer: B
Rationale: This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety.