NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by constricting cerebral blood vessels. Which physician order would serve this purpose?
Correct Answer: A
Rationale: Hyperventilation reduces PaCO2, causing cerebral vasoconstriction and decreased ICP. Shunts (
B) drain CSF, Furosemide (
C) reduces fluid volume, and Solu medrol (
D) reduces inflammation, but none constrict vessels directly.
Question 2 of 5
Which one of the following lab tests should be done periodically if the client is being maintained on warfarin sodium (Coumadin)?
Correct Answer: A
Rationale: Warfarin’s anticoagulant effect is monitored by INR (derived from prothrombin time), but periodic platelet counts are also checked to assess for thrombocytopenia, a potential side effect. White cell, neutrophil, and basophil counts are less relevant.
Question 3 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.
Question 4 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 5 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.