NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN

Extract:

Question 1 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 2 of 5

The most commonly known vectors of Lyme disease are:

A. Mites B. Fleas C. Ticks D. Mosquitoes

Correct Answer: C

Rationale: Mites are not the common vector of Lyme disease. Fleas are not the common vector of Lyme disease. Ticks are the common vector of Lyme disease. Mosquitoes are not the common vector of Lyme disease.

Question 3 of 5

The nurse is administering Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:

A. Flush the NG tube with 2-4 mL of water before giving the medication B. Administer the medication, flush with 5 mL of water, and clamp the NG tube C. Flush the NG tube with 5 mL of normal saline and administer the medication D. Flush the NG tube with 2-4oz of water before and after giving the medication

Correct Answer: C

Rationale: Flushing the NG tube with 5 mL of normal saline before administering phenytoin ensures tube patency and prevents clogging, maintaining effective delivery.

Question 4 of 5

The nurse is caring for a client with a history of multiple miscarriages. Which diagnostic test is most likely to be ordered?

A. Amniocentesis B. Kleihauer-Betke test C. Hysterosalpingogram D. Non-stress test

Correct Answer: C

Rationale: A hysterosalpingogram evaluates the uterine cavity and fallopian tubes for abnormalities (e.g. septum fibroids) that may cause recurrent miscarriages. Amniocentesis assesses fetal genetics Kleihauer-Betke detects fetal blood and non-stress tests monitor fetal well-being.

Question 5 of 5

A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:

A. Isolation of the client from the remainder of the family B. Separate bathroom facilities if possible; if not, then cleansing daily of the facilities with a chloride solution C. No necessary precautions because she is beyond the contagious phase D. Laundering clothes separately in cold water with a chloride solution

Correct Answer: B

Rationale: Isolation is not necessary, even in the acute phase. Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. Precautions continue to be necessary while the client is in the active phase of hepatitis. Clothes are to be laundered separately in hot water with a chloride solution.