NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin is the most specific and sensitive marker for myocardial infarction, as it is released during cardiac muscle damage and remains elevated for days. CK, myoglobin, and LDH are less specific.
Question 2 of 5
The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?
Correct Answer: C
Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.
Question 3 of 5
The leukemic client is prescribed a low-bacteria diet. Which does the nurse expect to be included in this diet?
Correct Answer: A
Rationale: A low-bacteria diet for leukemia includes cooked foods (e.g., cooked spinach and celery) to minimize infection risk. Raw foods like lettuce (
B), strawberries (
C), and cauliflower (
D) pose higher bacterial risks.
Question 4 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor closely?
Correct Answer: C
Rationale: Lithium requires monitoring of serum lithium levels to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity. Sodium (
A), BUN (
B), and A1c (
D) are secondary.
Question 5 of 5
The nurse is caring for a client with a diagnosis of postpartum depression. Which symptom is most likely to be present?
Correct Answer: B
Rationale: Postpartum depression is characterized by persistent sadness low mood and lack of interest. Fever foul-smelling lochia and uterine tenderness suggest infection not depression.