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
The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements,if made by the mother would require a need for further instruction?
Correct Answer: C
Rationale: Hot dogs pose a choking hazard for a two-year-old due to their size and texture indicating a need for further instruction. The other food choices are age-appropriate and safe.
Question 3 of 5
A couple is planning the conception of their first child. The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:
Correct Answer: C
Rationale: Ovulation occurs 14 ± 2 days before the next menses; in a 34-day cycle, this is day 20 ± 2.
Question 4 of 5
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
Correct Answer: B
Rationale: This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety.
Question 5 of 5
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer. Teaching related to skin care for the client would include which of the following?
Correct Answer: D
Rationale: The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.