NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
Correct Answer: B
Rationale: A nasogastric tube post-laryngectomy decompresses the stomach, preventing vomiting and aspiration, which could stress the surgical site. Swelling, contamination, and mucosa healing are secondary.
Question 2 of 5
The mother of a two-year-old with burns over 40% of the body asks the nurse how long it will take for the burns to heal. The nurse’s response is based on the knowledge that second-degree burns require:
Correct Answer: C
Rationale: Second-degree burns, affecting the epidermis and dermis, typically heal in 14–21 days with proper care. Healing time depends on depth and infection control, but 14–21 days is standard.
Question 3 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. The other options describe hyperthyroidism or mixed symptoms.
Question 4 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 5 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.