NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client admitted to the emergency room with multiple injuries develops Cullen's sign. The nurse is aware that the client has sustained damage to the:
Correct Answer: C
Rationale: Cullen’s sign (periumbilical bruising) indicates intra-abdominal bleeding, often from trauma to abdominal organs like the liver or spleen. It is not associated with brain, lung, or spinal injuries.
Question 2 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 3 of 5
The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?
Correct Answer: C
Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.
Question 4 of 5
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: C
Rationale: Hyperacute T waves occur with hyperkalemia. Prolongation of the PR interval occurs with first-degree AV block. Horizontal ST-segment depression of >1 mm during exercise is definitely a positive criterion on the exercise ECG test. Pathological Q waves occur with MI.
Question 5 of 5
Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:
Correct Answer: B
Rationale: Stiff neck is consistent with a dystonic reaction, but the client has no symptoms of drooling, shuffling gait, or pill-rolling movements characteristic of parkinsonism. Stiff neck is consistent with a dystonic reaction, and inability to sit still with varying degrees of psychomotor agitation is characteristic of akathisia. The client has symptoms of dystonia but not of parkinsonism. The client has none of the characteristic symptoms of neuroleptic malignant syndrome: hyperpyrexia, generalized muscle rigidity, mutism, obtundation, agitation, sweating, increased blood pressure and pulse.