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
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 3 of 5
The charge nurse of a medical surgical unit is assigning tasks for the day. Which client care assignments are most appropriate for the unlicensed assistive personnel?
Correct Answer: A, C, E
Rationale: UAPs can feed (
A), ambulate (
C), and bathe (E) clients, as these are within their scope. Vital signs on unstable clients (
B) and checking stools for blood (
D) require nursing assessment.
Question 4 of 5
A client with a history of heart failure is admitted with shortness of breath and leg edema. Which medication would the nurse expect to administer?
Correct Answer: B
Rationale: Furosemide, a diuretic, reduces fluid overload in heart failure, relieving shortness of breath and edema. Metoprolol (
A) manages heart rate, Warfarin (
C) prevents clots, and Atorvastatin (
D) lowers cholesterol, but none address fluid directly.
Question 5 of 5
A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:
Correct Answer: B
Rationale: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.