NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.
Question 2 of 5
A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:
Correct Answer: A
Rationale: The prone position reduces pressure and tension on the sac. Primary nursing goals are to prevent trauma and infection of the sac.
Question 3 of 5
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:
Correct Answer: A
Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.
Question 4 of 5
The client has an order for Feosol (ferrous sulfate). To promote absorption, the nurse should administer the medication with:
Correct Answer: C
Rationale: Ferrous sulfate absorption is enhanced by vitamin C, found in orange juice, which maintains iron in its reduced form. Milk and meals (especially with calcium or fiber) reduce absorption, and undiluted administration is not standard.
Question 5 of 5
The nurse is administering Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
Correct Answer: C
Rationale: Flushing the NG tube with 5 mL of normal saline before administering phenytoin ensures tube patency and prevents clogging, maintaining effective delivery.