NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.
Question 2 of 5
An 18-month-old child has been playing in the garage. His mother brings him to a nurse's home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form. The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:
Correct Answer: B
Rationale: (A, C,
D) These agents would not cause ulcerations on mouth and lips. Strong alkali or acids will cause burns and ulcerations on the mucous membranes.
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
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer (e.g., acral lentiginous melanoma) is most common on palms or soles due to less pigmentation. Chest (
A), arms (
B), and face (
C) are less likely sites.
Question 5 of 5
Endotracheal tube cuff pressure should never exceed:
Correct Answer: B
Rationale: Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion.