NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Radiation site markings must be preserved for accurate treatment. Soap, lotion, or other substances can remove markings, so they should be avoided. Covering or powdering is unnecessary.
Question 2 of 5
A client's record from the ED indicates that she overdosed on phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor. Which diet would be the most appropriate at this time?
Correct Answer: D
Rationale: Tyramine is an amino acid activated by MAO in the liver and intestinal wall. It is released as proteins are hydrolyzed through aging, pickling, smoking, or spoilage of foods. When MAO is inhibited, tyramine levels rise, stimulating the adrenergic system to release large amounts of norepinephrine, which can produce a hypertensive crisis.
Question 3 of 5
The nurse is caring for a client with a history of multiple miscarriages. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: A hysterosalpingogram evaluates the uterine cavity and fallopian tubes for abnormalities (e.g. septum fibroids) that may cause recurrent miscarriages. Amniocentesis assesses fetal genetics Kleihauer-Betke detects fetal blood and non-stress tests monitor fetal well-being.
Question 4 of 5
A four-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to bleeding (from low platelets) and pallor (from anemia). These are critical signs to monitor. Other symptoms are less immediate.
Question 5 of 5
An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?
Correct Answer: B
Rationale: (A, C,
D) These answers are incorrect. Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL × 6.8 = 680 mL/day.