NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 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
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
Correct Answer: B
Rationale: This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety.
Question 4 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.
Question 5 of 5
The client is admitted with a suspected deep vein thrombosis. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: Venous ultrasound is the most effective test to confirm deep vein thrombosis, visualizing clots in the veins. D-dimer is sensitive but not specific, and chest X-ray and ABGs are irrelevant.