NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
Correct Answer: D
Rationale: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.
Question 2 of 5
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:
Correct Answer: B
Rationale: This describes a suprapubic (transvesical) prostatectomy procedure. This is the correct description of a TURP procedure. This describes a perineal prostatectomy procedure. This describes a retropubic (extravesical) prostatectomy procedure.
Question 3 of 5
The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.
Question 4 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 5 of 5
The nurse is assessing a client with suspected preeclampsia. Which finding is most indicative of this condition?
Correct Answer: A
Rationale: Proteinuria is a hallmark of preeclampsia, reflecting renal involvement due to endothelial damage. Hypertension (not hypotension), weight gain, and oliguria (not polyuria) are also common.