NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:
Correct Answer: C
Rationale: The client should be observed eye-to-eye for at least 1 hour following meals to prevent discarding food stashed in her clothing at mealtime or engaging in self-induced vomiting.
Question 2 of 5
In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?
Correct Answer: D
Rationale: Backache is a common complaint during pregnancy. Proper body mechanics, pelvic rock, back rubs, and other comfort measures should relieve the discomfort. In the presence of uterine contractions, the backache would radiate to the lower abdomen. Colostrum is normal and can be present anytime in the second half of pregnancy. Constipation and hemorrhoids are common and do need attention, but they do not constitute a dangerous situation. Visual changes are possibly related to PIH. The client should be assessed immediately to rule out or prevent worsening of PIH.
Question 3 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.
Question 4 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 5 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.