NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding should be reported to the doctor immediately?
Correct Answer: A
Rationale: Low blood pressure (82/60) and tachycardia (pulse 120) indicate possible hypovolemic shock, likely from bleeding, which is a medical emergency in a client with a duodenal ulcer.
Question 2 of 5
Which of the following meal selections is appropriate for the client with celiac disease?
Correct Answer: C
Rationale: Celiac disease requires a gluten-free diet. Rice Krispies bars are typically gluten-free, unlike toast, cookies, or pizza, which contain wheat flour.
Question 3 of 5
A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?
Correct Answer: B
Rationale: Schizophrenia is characterized by apathy and flat affect, reflecting emotional disengagement from the environment.
Question 4 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 5 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.