NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with a history of hyperthyroidism. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hyperthyroidism increases metabolism, leading to weight loss, heat intolerance, and tachycardia, a common clinical finding.
Question 3 of 5
A client with a history of heart failure is admitted with shortness of breath and leg edema. Which medication would the nurse expect to administer?
Correct Answer: B
Rationale: Furosemide, a diuretic, reduces fluid overload in heart failure, relieving shortness of breath and edema. Metoprolol (
A) manages heart rate, Warfarin (
C) prevents clots, and Atorvastatin (
D) lowers cholesterol, but none address fluid directly.
Question 4 of 5
The client has an order for Feosol (ferrous sulfate). To promote absorption, the nurse should administer the medication with:
Correct Answer: C
Rationale: Ferrous sulfate absorption is enhanced by vitamin C, found in orange juice, which maintains iron in its reduced form. Milk and meals (especially with calcium or fiber) reduce absorption, and undiluted administration is not standard.
Question 5 of 5
Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:
Correct Answer: B
Rationale: The infant has not ingested any protein immediately after birth, which is necessary to detect excessive serum phenylalanine. It is important that the infant take in 2-3 full days of milk or formula feedings to preclude a false-negative reading. At 2-3 days of age, inadequate milk could have been ingested owing to a delay in the initial feeding. The biochemical buildup of serum phenylalanine is detectable after 2-3 days of milk or formula ingestion.