NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN

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 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:

A. Acute urinary retention B. Hesitancy in starting urination C. Increased frequency of urination D. Decreased force of the urinary stream

Correct Answer: A

Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.

Question 3 of 5

The most commonly known vectors of Lyme disease are:

A. Mites B. Fleas C. Ticks D. Mosquitoes

Correct Answer: C

Rationale: Mites are not the common vector of Lyme disease. Fleas are not the common vector of Lyme disease. Ticks are the common vector of Lyme disease. Mosquitoes are not the common vector of Lyme disease.

Question 4 of 5

A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:

A. Draw a man in six parts B. Give his first and last name C. Dress without supervision D. Define a list of words

Correct Answer: B

Rationale: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.

Question 5 of 5

A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?

A. A family history of laryngeal cancer B. Chronic inhalation of noxious fumes C. Frequent straining of the vocal cords D. A history of frequent alcohol and tobacco use

Correct Answer: D

Rationale: Alcohol and tobacco use are the most significant risk factors for laryngeal cancer due to their carcinogenic effects on the laryngeal mucosa. Family history, fumes, and vocal strain are less impactful.