NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which physician order should the nurse question?
Correct Answer: B
Rationale: The Kleihauer-Betke test detects fetal blood in maternal circulation typically used in trauma or Rh sensitization not placenta previa. Fetal monitoring , CBC , and IV fluids are appropriate for managing placenta previa which involves painless vaginal bleeding.
Question 2 of 5
The nurse is teaching a client with a history of sleep apnea about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: A CPAP machine maintains airway patency in sleep apnea, improving oxygenation and reducing apneic episodes.
Question 3 of 5
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
Correct Answer: D
Rationale: Ethambutol can cause optic neuritis, leading to changes in color vision, a serious side effect requiring immediate reporting. Gastric distress is common, and red fluids are unrelated.
Question 4 of 5
The child with iron poisoning is given IV deferoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nursing intervention would be to:
Correct Answer: B
Rationale: The IV line should not be discontinued because other IV medications will be needed. Stop the medication and begin a normal saline infusion. The child is exhibiting signs of an allergic reaction and could go into shock if the medication is not stopped. The line should be kept opened for other medication. Taking vital signs and reporting to the physician is not an adequate intervention because the IV medication continues to flow. Assessing urinary output and, if it is 30 mL an hour, maintaining current treatment is an inappropriate intervention owing to the child's obvious allergic reaction.
Question 5 of 5
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
Correct Answer: D
Rationale: The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations, addressing the core issue of social withdrawal.