NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client has an order for Feosol (ferrous sulfate). To promote absorption, the nurse should administer the medication with:
Correct Answer: C
Rationale: Ferrous sulfate absorption is enhanced by vitamin C, found in orange juice, which maintains iron in its reduced form. Milk and meals (especially with calcium or fiber) reduce absorption, and undiluted administration is not standard.
Question 2 of 5
The nurse is caring for a client with a history of multiple miscarriages. Which diagnostic test is most likely to be ordered?
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 3 of 5
A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting 15 seconds. The nurse interprets this test to be:
Correct Answer: B
Rationale: A reactive NST shows at least two accelerations of FHR (15 bpm, lasting 15 seconds) with fetal movements over 20 minutes, indicating fetal well-being.
Question 4 of 5
The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding should be reported to the doctor immediately?
Correct Answer: A
Rationale: Low blood pressure (82/60) and tachycardia (pulse 120) indicate possible hypovolemic shock, likely from bleeding, which is a medical emergency in a client with a duodenal ulcer.
Question 5 of 5
A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes symptoms like tingling or tetany, requiring monitoring. Iodine foods, bedtime dosing, and fluid limits are not primary concerns.