NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A four-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to bleeding (from low platelets) and pallor (from anemia). These are critical signs to monitor. Other symptoms are less immediate.
Question 2 of 5
A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse's most therapeutic response will be:
Correct Answer: A
Rationale: This response uses the principle of reality orientation by the nurse telling the client that he or she does not see anything, but it does recognize his feelings.
Question 3 of 5
A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?
Correct Answer: D
Rationale: Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.
Question 4 of 5
During the intake assessment,a client reports that she has a painful blister on the labia. The client's symptoms are likely the result of infection with:
Correct Answer: B
Rationale: Herpes simplex virus type II (HSV-II) typically causes painful blisters or vesicles on the genitalia such as the labia. Syphilis causes painless chancres gonorrhea causes discharge and condylomata (HPV-related warts) are usually painless.
Question 5 of 5
Signs and symptoms of an allergy attack include which of the following?
Correct Answer: D
Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.