NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:
Correct Answer: C
Rationale: The test results were normal, so there would be no need to repeat to determine results. There are no data to indicate further tests are needed, because the result of the NST was normal. An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a 15-minute period. The NST results were normal, so there was no fetal distress.
Question 2 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.
Question 3 of 5
A client with a history of deep vein thrombosis is admitted with complaints of leg pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anticoagulants prevent clot progression in deep vein thrombosis, making them the priority to reduce the risk of pulmonary embolism.
Question 4 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.
Question 5 of 5
Which statement is true regarding a patient with a Sengstaken-Blakemore tube?
Correct Answer: D
Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.