NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Signs and symptoms of an allergy attack include which of the following?
Correct Answer: D
Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.
Question 2 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.
Question 3 of 5
A client with a history of heart failure is admitted with shortness of breath and leg edema. Which medication would the nurse expect to administer?
Correct Answer: B
Rationale: Furosemide, a diuretic, reduces fluid overload in heart failure, relieving shortness of breath and edema. Metoprolol (
A) manages heart rate, Warfarin (
C) prevents clots, and Atorvastatin (
D) lowers cholesterol, but none address fluid directly.
Question 4 of 5
A 24-year-old woman who is gravida 1 reports, 'I can't take iron pills because they make me sick.' She continues, 'My bowels aren't moving either.' In counseling her based on these complaints, the nurse's most appropriate response would be, 'It would be beneficial for you to eat . . .
Correct Answer: A
Rationale: Prunes provide fiber to decrease constipation and are an excellent source of dietary iron, as the prenatal client is not taking her supplemental iron and iron-deficiency anemia is common during pregnancy. Green leafy vegetables provide a source of fiber and iron; however, prunes are a better source of both. Red meat is a good iron source but will not address the constipation problem. Eggs are a good iron source but do not address the constipation problem.
Question 5 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.