NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?
Correct Answer: A
Rationale: Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. Milk interferes with the absorption of tetracyclines. Children older than 9 years or past the tooth development stage may be given tetracycline. Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.
Question 2 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer (e.g., acral lentiginous melanoma) is most common on palms or soles due to less pigmentation. Chest (
A), arms (
B), and face (
C) are less likely sites.
Question 3 of 5
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
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.
Question 4 of 5
The client is admitted with a diagnosis of HELLP syndrome. Which laboratory finding is consistent with this diagnosis?
Correct Answer: C
Rationale: HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelets) is characterized by elevated liver enzymes and decreased platelet count reflecting liver damage and thrombocytopenia. Both findings are consistent with the diagnosis.
Question 5 of 5
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
Correct Answer: C
Rationale: Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2 that is an end product of carbohydrate metabolism. Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.