NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.
Question 2 of 5
A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?
Correct Answer: D
Rationale: Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.
Question 3 of 5
The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements,if made by the mother would require a need for further instruction?
Correct Answer: C
Rationale: Hot dogs pose a choking hazard for a two-year-old due to their size and texture indicating a need for further instruction. The other food choices are age-appropriate and safe.
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
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?
Correct Answer: A
Rationale: A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to 'do it herself.' A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. Watching television may be a favorite activity, but it does not foster autonomy.