NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Assessment of a newborn for Apgar scoring includes observation for:
Correct Answer: C
Rationale: Heart rate is a critical component of Apgar scoring, assessed at 1 and 5 minutes to evaluate newborn vitality.
Question 2 of 5
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy by depleting vitamin B6 (pyridoxine), so supplemental pyridoxine is given to prevent this side effect.
Question 3 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 4 of 5
The nurse is caring for a client with a history of a fractured tibia who is in a cast. The client complains of pain unrelieved by medication. The nurse should:
Correct Answer: C
Rationale: Unrelieved pain in a casted tibia may indicate compartment syndrome or infection, requiring immediate physician notification. Ice and elevation are insufficient, and massage is contraindicated.
Question 5 of 5
A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
Correct Answer: B
Rationale: A nasogastric tube post-laryngectomy decompresses the stomach, preventing vomiting and aspiration, which could stress the surgical site. Swelling, contamination, and mucosa healing are secondary.