NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN

Extract:

Question 1 of 5

The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?

Correct Answer: A

Rationale: Ectopic pregnancy causes sudden abdominal pain from tubal stretching or rupture. Painless bleeding is more typical of placenta previa fetal heart tones are absent and fever is not common.

Question 2 of 5

A 68-year-old man was recently diagnosed with endstage renal disease. He has not yet begun dialysis but is experiencing severe anemia with associated symptoms of dyspnea on exertion and chest pain. Which statement best describes the management of anemia in renal failure?

A. Hematocrit levels usually remain slightly below normal in clients with renal failure. B. Transfusion is often begun as early as possible to prevent complications of anemia such as dyspnea and angina. C. Anemia in renal failure is frequently caused by low serum iron and ferritin and corrected by oral iron and ferritin replacement therapy. D. The renal secretion of erythropoiesis is decreased. The bone marrow requires erythropoietin to mature red blood cells.

Correct Answer: D

Rationale: Clients in renal failure typically have very low hematocrits, often in the range of 16-22%. Transfusion is avoided unless the client exhibits acute symptoms such as dyspnea, chest pain, tachycardia, and extreme fatigue. When the client is given a transfusion, the bone marrow adjusts by producing less red blood cells. Anemia in renal failure is caused primarily by decreased erythropoietin. Low serum iron and ferritin may aggravate the anemia and require treatment. Decreased secretion of erythropoietin by the kidney is the primary cause of anemia. The bone marrow requires this hormone to mature red blood cells. Treatment is with replacement therapy.

Question 3 of 5

The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:

A. Neurological status B. Renal function C. Respiratory status D. Cardiac function

Correct Answer: C

Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.

Question 4 of 5

A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, an increased white blood cell count, and malaise. The client is experiencing which type of rejection?

A. Acute B. Chronic C. Hyperacute D. Hyperchronic

Correct Answer: A

Rationale: The sudden development of fever, graft tenderness, increased white blood count, and malaise are signs and symptoms of an acute rejection that commonly occurs at 3 months.

Question 5 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?

A. The client should lie on the left side after the procedure. B. Cleansing enemas should be given the morning of the procedure. C. Blood coagulation studies might be done before the biopsy. D. The procedure is noninvasive and causes no pain.

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).