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
When administering total parenteral nutrition, the nurse should assess the client for signs of rebound hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
Correct Answer: B
Rationale: Rebound hypoglycemia occurs when TPN is stopped abruptly, causing a rapid drop in blood glucose due to persistent insulin release. Tapering the infusion prevents this.
Question 3 of 5
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
Correct Answer: D
Rationale: The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations, addressing the core issue of social withdrawal.
Question 4 of 5
A client with a history of chronic venous insufficiency is admitted with complaints of leg swelling. The nurse should give priority to:
Correct Answer: A
Rationale: Elevating the legs reduces venous pooling and edema in chronic venous insufficiency, improving circulation and relieving swelling.
Question 5 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.