NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mother has asked to breastfeed her following delivery. Immediately after birth, the neonate was most susceptible to heat loss. The most appropriate intervention to conserve heat loss and promote bonding is to:
Correct Answer: C
Rationale: A radiant warmer maintains an optimal thermal environment by use of a thermal skin sensor taped to the infant. The warmer limits parental attachment, so, although appropriate, it is not an intervention that promotes infant attachment. Warmed blankets prevent heat loss in the neonate by conduction. In addition, tactile stimuli promote crying and lung expansion. This intervention does not promote attachment, however. Skin-to-skin contact is an effective way to conserve heat after delivery and promotes parental attachment following birth in the healthy term infant. The first period of reactivity lasts approximately 30 minutes following birth. A strong sucking reflex and an active, awake newborn characterize this period. Surfaces of objects warmer than the infant promote overheating by conduction, and neonatal hyperthermia may result.
Question 2 of 5
A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes symptoms like tingling or tetany, requiring monitoring. Iodine foods, bedtime dosing, and fluid limits are not primary concerns.
Question 3 of 5
The nurse is teaching a client with a history of sleep apnea about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: A CPAP machine maintains airway patency in sleep apnea, improving oxygenation and reducing apneic episodes.
Question 4 of 5
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
Correct Answer: A
Rationale: Footling breech presentation carries a high risk of cord prolapse and is typically delivered by Caesarean section to ensure fetal safety. Internal monitoring or genupectoral positioning are not appropriate and ultrasound is unnecessary if the presentation is confirmed.
Question 5 of 5
The nurse is caring for a client with a history of scleroderma. The nurse should expect the client to have:
Correct Answer: A
Rationale: Scleroderma causes collagen overproduction, leading to skin thickening and hardening, a hallmark symptom.