NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted to the family-planning clinic with a desire to use a diaphragm as her method of contraception. Which instructions should be included in the teaching plan?
Correct Answer: B, E
Rationale: Diaphragms require contraceptive gel (
B) for efficacy and must remain in place 6 hours post-intercourse (E). Hot water (
A) may damage the diaphragm; douching (
C) is discouraged; resizing occurs every 2 years or after weight changes (
D).
Question 2 of 5
The client is admitted with a diagnosis of hypoparathyroidism. Which electrolyte imbalance is the client at risk for?
Correct Answer: C
Rationale: Hypoparathyroidism reduces parathyroid hormone, decreasing calcium levels and causing hypocalcemia. Potassium, hypercalcemia, and hypermagnesemia are not directly related.
Question 3 of 5
Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
Correct Answer: A
Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.
Question 4 of 5
An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?
Correct Answer: B
Rationale: (A, C,
D) These answers are incorrect. Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL × 6.8 = 680 mL/day.
Question 5 of 5
The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.