NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?
Correct Answer: B
Rationale: Schizophrenia is characterized by apathy and flat affect, reflecting emotional disengagement from the environment.
Question 2 of 5
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:
Correct Answer: B
Rationale: This describes a suprapubic (transvesical) prostatectomy procedure. This is the correct description of a TURP procedure. This describes a perineal prostatectomy procedure. This describes a retropubic (extravesical) prostatectomy procedure.
Question 3 of 5
The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupus. The client states, 'I get them whenever I bump into anything.' The nurse would expect to note a decrease in which of the following laboratory tests?
Correct Answer: A
Rationale: Thrombocytopenia, a decrease in platelets, occurs in lupus and causes a decrease in blood coagulation and thrombus formation. Clients with lupus will have a decrease in the WBC count decreasing their resistance to infection. Clients with lupus may have a decrease in the hemoglobin level causing anemia. Leukopenia, a decrease in white blood cells, is seen in lupus and decreases resistance to infection.
Question 4 of 5
Assessment of the client's skin reveals numerous café au lait spots over the trunk. These changes are associated with which diagnosis?
Correct Answer: B
Rationale: Café au lait spots are characteristic of neurofibromatosis a genetic disorder affecting nerve tissue. They are not associated with polycythemia vera thalassemia major or acoustic neuroma.
Question 5 of 5
A client with a history of a seizure disorder is being prepared for an EEG. The nurse should:
Correct Answer: A
Rationale: Washing the client’s hair ensures a clean scalp for electrode placement during an EEG, improving accuracy. Chest electrodes, sedatives, and fluid restriction are not required.