NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?
Correct Answer: D
Rationale: Play provides the child with opportunities for coping and adaptation. Aggression during play activities indicates a coping response to hospitalization.
Question 2 of 5
The mother of a two-year-old with burns over 40% of the body asks the nurse how long it will take for the burns to heal. The nurse’s response is based on the knowledge that second-degree burns require:
Correct Answer: C
Rationale: Second-degree burns, affecting the epidermis and dermis, typically heal in 14–21 days with proper care. Healing time depends on depth and infection control, but 14–21 days is standard.
Question 3 of 5
Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?
Correct Answer: D
Rationale: This response does not acknowledge the client's feelings. This is a closed question and does not encourage communication. This response negates the client's feelings and does not require a response from the client. This acknowledges the client's implied thoughts and feelings and encourages a response.
Question 4 of 5
A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun 2 hours prior to surgery. He has no known infection. The rationale for giving antibiotics prior to surgery is to:
Correct Answer: B
Rationale: Cathartic drugs promote evacuation of intestinal contents. The client undergoing intestinal surgery is at increased risk for infection from large numbers of anaerobic bacteria that inhabit the intestines. Administering antibiotics prophylactically can reduce the client's risk for infection. Antibiotics are indicated in the treatment of infections and have no effect on emotions. Antipyretics are useful in the treatment of elevated temperatures. Antibiotics would have an effect on infection, which causes temperature elevation, but would not directly affect such an elevation.
Question 5 of 5
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:
Correct Answer: B
Rationale: This describes a suprapubic (transvesical) prostatectomy procedure. This is the correct description of a TURP procedure. This describes a perineal prostatectomy procedure. This describes a retropubic (extravesical) prostatectomy procedure.