NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?
Correct Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid from the brain.
Question 3 of 5
The nurse is caring for a client with a history of a fractured pelvis. The client is in pelvic traction. The nurse should:
Correct Answer: D
Rationale: Monitoring for infection at pin sites is critical in pelvic traction to prevent osteomyelitis. Turning is limited, weights must hang freely, and lotion is unnecessary.
Question 4 of 5
Which one of the following lab tests should be done periodically if the client is being maintained on warfarin sodium (Coumadin)?
Correct Answer: A
Rationale: Warfarin’s anticoagulant effect is monitored by INR (derived from prothrombin time), but periodic platelet counts are also checked to assess for thrombocytopenia, a potential side effect. White cell, neutrophil, and basophil counts are less relevant.
Question 5 of 5
The charge nurse of a medical surgical unit is assigning tasks for the day. Which client care assignments are most appropriate for the unlicensed assistive personnel?
Correct Answer: A, C, E
Rationale: UAPs can feed (
A), ambulate (
C), and bathe (E) clients, as these are within their scope. Vital signs on unstable clients (
B) and checking stools for blood (
D) require nursing assessment.