NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
Correct Answer: C
Rationale: HIV is not easily transmitted by casual contact.
Question 2 of 5
The nurse monitors a client with SIADH for weight loss. A loss of 6 pounds since admission indicates a loss of liters of fluid.
Correct Answer: 2.7 liters
Rationale: In SIADH, 1 kg (2.2 lbs) of weight loss approximates 1 liter of fluid loss. 6 lbs ÷ 2.2 = 2.73 kg ≈ 2.7 liters.
Question 3 of 5
Which of the following can occur with the frequent use of calcium-based antacids?
Correct Answer: A
Rationale: Calcium-based antacids can cause constipation due to their effect on slowing gastrointestinal motility. Hyperperistalsis and diarrhea are more associated with magnesium-based antacids, and delayed gastric emptying is not a common effect.
Question 4 of 5
A client admitted to the emergency room with multiple injuries develops Cullen's sign. The nurse is aware that the client has sustained damage to the:
Correct Answer: C
Rationale: Cullen’s sign (periumbilical bruising) indicates intra-abdominal bleeding, often from trauma to abdominal organs like the liver or spleen. It is not associated with brain, lung, or spinal injuries.
Question 5 of 5
Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:
Correct Answer: B
Rationale: The infant has not ingested any protein immediately after birth, which is necessary to detect excessive serum phenylalanine. It is important that the infant take in 2-3 full days of milk or formula feedings to preclude a false-negative reading. At 2-3 days of age, inadequate milk could have been ingested owing to a delay in the initial feeding. The biochemical buildup of serum phenylalanine is detectable after 2-3 days of milk or formula ingestion.