NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?
Correct Answer: D
Rationale: Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. Lochia granulosa is not a proper classification. Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.
Question 2 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 3 of 5
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
Correct Answer: C
Rationale: Coagulation studies are essential before a liver biopsy to assess bleeding risk, especially in hepatitis C patients with potential liver dysfunction. Lying on the left side (
A) is incorrect (right side is standard), enemas (
B) are not needed, and the procedure is invasive and painful (
D).
Question 4 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 5 of 5
The nurse is teaching a client with a history of sleep apnea about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: A CPAP machine maintains airway patency in sleep apnea, improving oxygenation and reducing apneic episodes.