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
A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?
Correct Answer: B
Rationale: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting the optic nerves or brainstem.
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
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: C
Rationale: Hyperacute T waves occur with hyperkalemia. Prolongation of the PR interval occurs with first-degree AV block. Horizontal ST-segment depression of >1 mm during exercise is definitely a positive criterion on the exercise ECG test. Pathological Q waves occur with MI.
Question 5 of 5
A client with a history of a seizure disorder is being prepared for an EEG. The nurse should:
Correct Answer: A
Rationale: Washing the client’s hair ensures a clean scalp for electrode placement during an EEG, improving accuracy. Chest electrodes, sedatives, and fluid restriction are not required.