NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, an increased white blood cell count, and malaise. The client is experiencing which type of rejection?
Correct Answer: A
Rationale: The sudden development of fever, graft tenderness, increased white blood count, and malaise are signs and symptoms of an acute rejection that commonly occurs at 3 months.
Question 2 of 5
Signs and symptoms of an allergy attack include which of the following?
Correct Answer: D
Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.
Question 3 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound confirms the ectopic pregnancy’s location and serum hCG levels show abnormal doubling patterns. Both tests are critical for diagnosis.
Question 4 of 5
A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment, cognitive impairment, extremely impaired judgment in social situations, and agitation when placed in a new situation or around unfamiliar people. The nurse should include the following strategy in the client's care:
Correct Answer: A
Rationale: Alzheimer's clients cope poorly with changes in routine because of memory deficits. Schedule changes cause confusion and frustration, whereas adhering to schedules is helpful and supports orientation. Insisting that the client go to all unit activities may antagonize her and increase her agitation because of cognitive impairments. It may be better to allow the client time for calming down or distraction rather than to insist that she attend every activity. When repeating a question, allow time first for a response; then use the same words the second time to avoid further confusion. The nurse should avoid giving several choices at once. Cognitively impaired clients will become more frustrated with making decisions.
Question 5 of 5
The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements,if made by the mother would require a need for further instruction?
Correct Answer: C
Rationale: Hot dogs pose a choking hazard for a two-year-old due to their size and texture indicating a need for further instruction. The other food choices are age-appropriate and safe.