NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of HELLP syndrome. Which laboratory finding is consistent with this diagnosis?
Correct Answer: C
Rationale: HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelets) is characterized by elevated liver enzymes and decreased platelet count reflecting liver damage and thrombocytopenia. Both findings are consistent with the diagnosis.
Question 2 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. The other options describe hyperthyroidism or mixed symptoms.
Question 3 of 5
The nurse is teaching a client with a history of type 1 diabetes about sick day management. The nurse should tell the client to:
Correct Answer: A
Rationale: Frequent blood glucose monitoring during illness prevents hypo- or hyperglycemia in type 1 diabetes.
Question 4 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 5 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.