NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?
Correct Answer: D
Rationale: Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.
Question 2 of 5
Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
Correct Answer: A
Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.
Question 3 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which physician order should the nurse question?
Correct Answer: B
Rationale: The Kleihauer-Betke test detects fetal blood in maternal circulation typically used in trauma or Rh sensitization not placenta previa. Fetal monitoring , CBC , and IV fluids are appropriate for managing placenta previa which involves painless vaginal bleeding.
Question 4 of 5
The nurse is assessing the circulation of a patient in a long leg cast. Which of the following assessments indicate adequate circulation to the extremity?
Correct Answer: D
Rationale: Brisk capillary refill of less than three seconds indicates adequate blood flow to the extremity as it shows that blood is returning quickly to the capillaries after compression. While the other options (no pain toe movement and sensation) are positive signs they do not directly assess circulation as effectively as capillary refill.
Question 5 of 5
Which diet is associated with an increased risk of colorectal cancer?
Correct Answer: C
Rationale: High-fat, refined carbohydrate diets are linked to colorectal cancer due to increased bile acid production and reduced fiber intake, which promote carcinogenesis. The other diets are less strongly associated.