NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with a history of scleroderma. The nurse should expect the client to have:
Correct Answer: A
Rationale: Scleroderma causes collagen overproduction, leading to skin thickening and hardening, a hallmark symptom.
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
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor, safe for transfusion without type and crossmatch in emergencies. AB positive (
A), AB negative (
B), and O positive (
C) risk incompatibility.
Question 5 of 5
A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?
Correct Answer: B
Rationale: Schizophrenia is characterized by apathy and flat affect, reflecting emotional disengagement from the environment.