NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:
Correct Answer: D
Rationale: (A,
B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.
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
A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:
Correct Answer: A
Rationale: The prone position reduces pressure and tension on the sac. Primary nursing goals are to prevent trauma and infection of the sac.
Question 4 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 5 of 5
The nurse is planning for discharge teaching to a client after a total hip replacement. Which teaching points will be included?
Correct Answer: A, B, C, D
Rationale: Hip replacement teaching includes avoiding leg separation (
A), maintaining hydration/fiber (
B), monitoring for dislocation signs (
C), and limiting hip flexion (
D). Sleeping on affected side (E) is not advised to prevent dislocation.