NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:
Correct Answer: C
Rationale: Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B,
D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.
Question 2 of 5
The client is admitted with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin is the most specific and sensitive marker for myocardial infarction, as it is released during cardiac muscle damage and remains elevated for days. CK, myoglobin, and LDH are less specific.
Question 3 of 5
As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that he appears depressed and talks about suicide and feelings of worthlessness. This is an important factor to consider in planning for his care because:
Correct Answer: B
Rationale: Threats of suicide should always be taken seriously, especially in a client with a chronic illness like cystic fibrosis.
Question 4 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.
Question 5 of 5
The client is admitted with a suspected deep vein thrombosis. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: Venous ultrasound is the most effective test to confirm deep vein thrombosis, visualizing clots in the veins. D-dimer is sensitive but not specific, and chest X-ray and ABGs are irrelevant.