NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min is appropriate for COPD to maintain oxygenation without suppressing the hypoxic respiratory drive. Higher flow rates or masks risk hypercapnia.
Question 2 of 5
When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?
Correct Answer: C
Rationale: Avoiding alcohol entirely, as indicated by attending AA meetings, shows understanding of preventing pancreatitis, which is often triggered by alcohol consumption.
Question 3 of 5
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?
Correct Answer: B
Rationale: Klebsiella pneumonia is caused by gram-negative bacteria. Pneumococcal pneumonia is caused by gram-positive bacteria. Legionella pneumophila pneumonia is a nonbacterial pneumonia. E. coli pneumonia is caused by gram-negative bacteria.
Question 4 of 5
The nurse is administering Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
Correct Answer: C
Rationale: Flushing the NG tube with 5 mL of normal saline before administering phenytoin ensures tube patency and prevents clogging, maintaining effective delivery.
Question 5 of 5
The nurse is assessing a client hospitalized with a duodenal ulcer. Which finding should be reported to the doctor immediately?
Correct Answer: A
Rationale: Low blood pressure (82/60) and tachycardia (pulse 120) indicate possible hypovolemic shock, likely from bleeding, which is a medical emergency in a client with a duodenal ulcer.