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 preeclampsia. Which laboratory finding is most concerning?

Correct Answer: A

Rationale: A platelet count of 80 000 indicates thrombocytopenia a serious complication in preeclampsia that increases bleeding risk and may signal HELLP syndrome. The other findings while concerning are less immediately alarming.

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 physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:

A. Constipation B. Urinary retention C. Diarrhea D. Confusion

Correct Answer: A

Rationale: Aluminum-based antacids like Basaljel commonly cause constipation by slowing intestinal motility. Urinary retention, diarrhea, and confusion are not typical side effects.

Question 4 of 5

A client with a history of deep vein thrombosis is admitted with complaints of leg pain. The nurse should give priority to:

A. Administering anticoagulants B. Elevating the leg C. Applying warm compresses D. Monitoring for infection

Correct Answer: A

Rationale: Anticoagulants prevent clot progression in deep vein thrombosis, making them the priority to reduce the risk of pulmonary embolism.

Question 5 of 5

Which statement is true regarding a patient with a Sengstaken-Blakemore tube?

A. The smaller balloon will provide direct pressure to control bleeding from the esophagus. B. The tube has four lumens, one of which drains esophageal secretions. C. The esophageal balloon should be inflated to a pressure between 30-35 mmHg. D. Scissors should be kept at the patient's bedside.

Correct Answer: D

Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.