NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected preeclampsia. Which finding is most indicative of this condition?
Correct Answer: A
Rationale: Proteinuria is a hallmark of preeclampsia, reflecting renal involvement due to endothelial damage. Hypertension (not hypotension), weight gain, and oliguria (not polyuria) are also common.
Question 2 of 5
In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?
Correct Answer: D
Rationale: Backache is a common complaint during pregnancy. Proper body mechanics, pelvic rock, back rubs, and other comfort measures should relieve the discomfort. In the presence of uterine contractions, the backache would radiate to the lower abdomen. Colostrum is normal and can be present anytime in the second half of pregnancy. Constipation and hemorrhoids are common and do need attention, but they do not constitute a dangerous situation. Visual changes are possibly related to PIH. The client should be assessed immediately to rule out or prevent worsening of PIH.
Question 3 of 5
The nurse monitors a client with SIADH for weight loss. A loss of 6 pounds since admission indicates a loss of liters of fluid.
Correct Answer: 2.7 liters
Rationale: In SIADH, 1 kg (2.2 lbs) of weight loss approximates 1 liter of fluid loss. 6 lbs ÷ 2.2 = 2.73 kg ≈ 2.7 liters.
Question 4 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 5 of 5
A client with a history of a seizure disorder is being prepared for an EEG. The nurse should:
Correct Answer: A
Rationale: Washing the client’s hair ensures a clean scalp for electrode placement during an EEG, improving accuracy. Chest electrodes, sedatives, and fluid restriction are not required.