NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that he appears depressed and talks about suicide and feelings of worthlessness. This is an important factor to consider in planning for his care because:
Correct Answer: B
Rationale: Threats of suicide should always be taken seriously, especially in a client with a chronic illness like cystic fibrosis.
Question 2 of 5
A 24-year-old woman who is gravida 1 reports, 'I can't take iron pills because they make me sick.' She continues, 'My bowels aren't moving either.' In counseling her based on these complaints, the nurse's most appropriate response would be, 'It would be beneficial for you to eat . . .
Correct Answer: A
Rationale: Prunes provide fiber to decrease constipation and are an excellent source of dietary iron, as the prenatal client is not taking her supplemental iron and iron-deficiency anemia is common during pregnancy. Green leafy vegetables provide a source of fiber and iron; however, prunes are a better source of both. Red meat is a good iron source but will not address the constipation problem. Eggs are a good iron source but do not address the constipation problem.
Question 3 of 5
Signs and symptoms of an allergy attack include which of the following?
Correct Answer: D
Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.
Question 4 of 5
In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?
Correct Answer: D
Rationale: Backache is a common complaint during pregnancy. Proper body mechanics, pelvic rock, back rubs, and other comfort measures should relieve the discomfort. In the presence of uterine contractions, the backache would radiate to the lower abdomen. Colostrum is normal and can be present anytime in the second half of pregnancy. Constipation and hemorrhoids are common and do need attention, but they do not constitute a dangerous situation. Visual changes are possibly related to PIH. The client should be assessed immediately to rule out or prevent worsening of PIH.
Question 5 of 5
A client is newly diagnosed with diabetes. Which nursing diagnosis is a priority at this time?
Correct Answer: C
Rationale: For a newly diagnosed diabetic, deficient knowledge about disease management (e.g., diet, medication, monitoring) is the priority to ensure safe self-care. Fluid volume deficit, anxiety, and activity intolerance may apply but are secondary initially.