NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Ectopic pregnancy requires surgical intervention (e.g. salpingectomy) or medical management (e.g. methotrexate) to remove the non-viable pregnancy.
Tocolytics fetal monitoring and antibiotics are not appropriate.
Question 2 of 5
A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?
Correct Answer: 58
Rationale: Cerebral perfusion pressure (CPP) is calculated as CPP = MAP - ICP. Given MAP = 70 mmHg and ICP = 22 mmHg, CPP = 70 - 22 = 48 mmHg. Thus, the correct answer is 48.
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
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 5 of 5
A client with a history of chronic venous insufficiency is admitted with complaints of leg swelling. The nurse should give priority to:
Correct Answer: A
Rationale: Elevating the legs reduces venous pooling and edema in chronic venous insufficiency, improving circulation and relieving swelling.