NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
Correct Answer: C
Rationale: Coagulation studies are essential before a liver biopsy to assess bleeding risk, especially in hepatitis C patients with potential liver dysfunction. Lying on the left side (
A) is incorrect (right side is standard), enemas (
B) are not needed, and the procedure is invasive and painful (
D).
Question 2 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.
Question 3 of 5
The nurse is teaching a client with a history of type 1 diabetes about sick day management. The nurse should tell the client to:
Correct Answer: A
Rationale: Frequent blood glucose monitoring during illness prevents hypo- or hyperglycemia in type 1 diabetes.
Question 4 of 5
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
Correct Answer: B
Rationale: This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. This answer is correct. The nurse should appropriately present reality. This answer is incorrect. Showing interest would reinforce the delusional system. This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.
Question 5 of 5
A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:
Correct Answer: B
Rationale: An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. A missed abortion occurs when the embryo dies in utero and is retained in the uterus.