NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:
Correct Answer: B
Rationale: Isolation is not necessary, even in the acute phase. Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. Precautions continue to be necessary while the client is in the active phase of hepatitis. Clothes are to be laundered separately in hot water with a chloride solution.
Question 2 of 5
The nurse is assessing a client with suspected preeclampsia. Which finding is most indicative of this condition?
Correct Answer: A
Rationale: Proteinuria is a hallmark of preeclampsia, reflecting renal involvement due to endothelial damage. Hypertension (not hypotension), weight gain, and oliguria (not polyuria) are also common.
Question 3 of 5
A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:
Correct Answer: A
Rationale: The prone position reduces pressure and tension on the sac. Primary nursing goals are to prevent trauma and infection of the sac.
Question 4 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min is appropriate for COPD to maintain oxygenation without suppressing the hypoxic respiratory drive. Higher flow rates or masks risk hypercapnia.
Question 5 of 5
A client with a history of a stroke is receiving speech therapy. The nurse should:
Correct Answer: C
Rationale: A quiet environment reduces distractions, aiding speech therapy post-stroke. Loud speech, complex sentences, and limiting sessions are unhelpful.