NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.
Question 2 of 5
Place in sequence the correct method of removal of contaminated personal protective equipment.
Correct Answer: B, C, D, A
Rationale:
To remove PPE safely: First, remove gloves (
B) to avoid contaminating hands. Next, remove the gown (
C) by pulling it away from the body.
Then, remove eyewear (
D) by handling the sides. Finally, remove the mask (
A) by touching only the ties to prevent respiratory exposure.
Question 3 of 5
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?
Correct Answer: A
Rationale: A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to 'do it herself.' A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. Watching television may be a favorite activity, but it does not foster autonomy.
Question 4 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 5 of 5
A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting 15 seconds. The nurse interprets this test to be:
Correct Answer: B
Rationale: A reactive NST shows at least two accelerations of FHR (15 bpm, lasting 15 seconds) with fetal movements over 20 minutes, indicating fetal well-being.