NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with a history of hyperthyroidism. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hyperthyroidism increases metabolism, leading to weight loss, heat intolerance, and tachycardia, a common clinical finding.
Question 3 of 5
Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?
Correct Answer: D
Rationale: This response does not acknowledge the client's feelings. This is a closed question and does not encourage communication. This response negates the client's feelings and does not require a response from the client. This acknowledges the client's implied thoughts and feelings and encourages a response.
Question 4 of 5
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
Correct Answer: A
Rationale: Aluminum-based antacids like Basaljel commonly cause constipation by slowing intestinal motility. Urinary retention, diarrhea, and confusion are not typical side effects.
Question 5 of 5
A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:
Correct Answer: B
Rationale: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.