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 most commonly known vectors of Lyme disease are:
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 3 of 5
Place in sequence the correct method of removal of contaminated personal protective equipment.
Correct Answer: B, C, D, A
Rationale:
To remove PPE safely: First, remove gloves (
B) to avoid contaminating hands. Next, remove the gown (
C) by pulling it away from the body.
Then, remove eyewear (
D) by handling the sides. Finally, remove the mask (
A) by touching only the ties to prevent respiratory exposure.
Question 4 of 5
A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?
Correct Answer: C
Rationale: A daily dose of fluoxetine should be taken in the morning. Afternoon doses may cause nervousness and insomnia. Although fluoxetine is less sedating than other antidepressants, it may still cause dizziness or drowsiness, requiring caution with driving or hazardous activities. Rashes or pruritus usually occur early in the therapy and are treatable without discontinuing the medication. Fluoxetine can interact with other medications, including over-the-counter drugs, and should be reviewed by the healthcare provider to avoid harmful interactions.
Question 5 of 5
The well child assessment of a one-year-old reveals orange discoloration of the nasolabial folds. Based on this finding the nurse should:
Correct Answer: A
Rationale: Orange discoloration of the nasolabial folds may result from excessive dietary beta-carotene (e.g. from carrots or sweet potatoes). Obtaining a diet history is the most appropriate action to identify the cause. The other options are more relevant for jaundice or liver issues.