NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
Correct Answer: D
Rationale: Alcohol and tobacco use are the most significant risk factors for laryngeal cancer due to their carcinogenic effects on the laryngeal mucosa. Family history, fumes, and vocal strain are less impactful.
Question 2 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 3 of 5
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:
Correct Answer: B
Rationale: Isolation is not necessary, even in the acute phase. Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. Precautions continue to be necessary while the client is in the active phase of hepatitis. Clothes are to be laundered separately in hot water with a chloride solution.
Question 4 of 5
The most commonly known vectors of Lyme disease are:
Correct Answer: C
Rationale: Mites are not the common vector of Lyme disease. Fleas are not the common vector of Lyme disease. Ticks are the common vector of Lyme disease. Mosquitoes are not the common vector of Lyme disease.
Question 5 of 5
A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?
Correct Answer: A
Rationale: Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. Milk interferes with the absorption of tetracyclines. Children older than 9 years or past the tooth development stage may be given tetracycline. Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.