NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes symptoms like tingling or tetany, requiring monitoring. Iodine foods, bedtime dosing, and fluid limits are not primary concerns.
Question 2 of 5
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
Correct Answer: D
Rationale: The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations, addressing the core issue of social withdrawal.
Question 3 of 5
Which of the following meal selections is appropriate for the client with celiac disease?
Correct Answer: C
Rationale: Celiac disease requires a gluten-free diet. Rice Krispies bars are typically gluten-free, unlike toast, cookies, or pizza, which contain wheat flour.
Question 4 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 5 of 5
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
Correct Answer: C
Rationale: Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2 that is an end product of carbohydrate metabolism. Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.