NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. The other options describe hyperthyroidism or mixed symptoms.
Question 2 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 3 of 5
Endotracheal tube cuff pressure should never exceed:
Correct Answer: B
Rationale: Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion.
Question 4 of 5
The nurse is administering Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
Correct Answer: C
Rationale: Flushing the NG tube with 5 mL of normal saline before administering phenytoin ensures tube patency and prevents clogging, maintaining effective delivery.
Question 5 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.