NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Continuous bladder irrigations are ordered for a patient following a TURP. The purpose of continuous bladder irrigations is to:
Correct Answer: A
Rationale: Continuous bladder irrigation after a transurethral resection of the prostate (TURP) prevents blood clot formation by flushing the bladder, reducing the risk of obstruction. It is not for medication delivery, pain prevention, or bladder tone maintenance.
Question 2 of 5
The nurse is caring for a client with a history of a fractured pelvis. The client is in pelvic traction. The nurse should:
Correct Answer: D
Rationale: Monitoring for infection at pin sites is critical in pelvic traction to prevent osteomyelitis. Turning is limited, weights must hang freely, and lotion is unnecessary.
Question 3 of 5
The client is admitted with a suspected pulmonary embolism. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: A pulmonary angiogram is the gold standard for confirming pulmonary embolism, directly visualizing blockages in pulmonary arteries. Chest X-ray, ABGs, and ECG may support the diagnosis but are less specific.
Question 4 of 5
Which statement is true regarding a patient with a Sengstaken-Blakemore tube?
Correct Answer: D
Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.
Question 5 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor closely?
Correct Answer: C
Rationale: Lithium requires monitoring of serum lithium levels to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity. Sodium (
A), BUN (
B), and A1c (
D) are secondary.