NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a hemorrhagic stroke has a temperature of 103°F. Efforts to reduce the temperature have not been effective. The most likely explanation for the elevated temperature is that damage has occurred to the:
Correct Answer: A
Rationale: The hypothalamus regulates body temperature. Damage from a hemorrhagic stroke can impair this function, leading to persistent hyperthermia. The pituitary manages hormones, carotid baroreceptors regulate blood pressure, and the frontal lobe controls behavior, none of which directly affect temperature.
Question 2 of 5
A client with a history of a lumbar laminectomy is being discharged. The nurse should teach the client to avoid:
Correct Answer: A
Rationale: Bending at the waist post-lumbar laminectomy strains the surgical site, risking injury. Sleeping, walking, and sitting (if brief) are generally safe with proper technique.
Question 3 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 4 of 5
In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?
Correct Answer: B
Rationale: Haloperidol is an antipsychotic medication and may be used until the lithium takes effect.
Question 5 of 5
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
Correct Answer: C
Rationale: Coagulation studies are essential before a liver biopsy to assess bleeding risk, especially in hepatitis C patients with potential liver dysfunction. Lying on the left side (
A) is incorrect (right side is standard), enemas (
B) are not needed, and the procedure is invasive and painful (
D).