NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A couple is planning the conception of their first child. The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:
Correct Answer: C
Rationale: Ovulation occurs 14 ± 2 days before the next menses; in a 34-day cycle, this is day 20 ± 2.
Question 2 of 5
A client with a hemorrhagic stroke has a temperature of 103°F. Efforts to reduce the temperature have not been effective. The most likely explanation for the elevated temperature is that damage has occurred to the:
Correct Answer: A
Rationale: The hypothalamus regulates body temperature. Damage from a hemorrhagic stroke can impair this function, leading to persistent hyperthermia. The pituitary manages hormones, carotid baroreceptors regulate blood pressure, and the frontal lobe controls behavior, none of which directly affect temperature.
Question 3 of 5
The leukemic client is prescribed a low-bacteria diet. Which does the nurse expect to be included in this diet?
Correct Answer: A
Rationale: A low-bacteria diet for leukemia includes cooked foods (e.g., cooked spinach and celery) to minimize infection risk. Raw foods like lettuce (
B), strawberries (
C), and cauliflower (
D) pose higher bacterial risks.
Question 4 of 5
The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding should be reported to the doctor immediately?
Correct Answer: A
Rationale: Low blood pressure (82/60) and tachycardia (pulse 120) indicate possible hypovolemic shock, likely from bleeding, which is a medical emergency in a client with a duodenal ulcer.
Question 5 of 5
In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?
Correct Answer: B
Rationale: Haloperidol is an antipsychotic medication and may be used until the lithium takes effect.