NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a fractured rib. The client complains of sharp chest pain. The nurse should:
Correct Answer: D
Rationale: Sharp chest pain with a fractured rib may indicate complications like pneumothorax, requiring immediate physician notification. Compresses, breathing, and ibuprofen are insufficient.
Question 2 of 5
During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?
Correct Answer: D
Rationale: Play provides the child with opportunities for coping and adaptation. Aggression during play activities indicates a coping response to hospitalization.
Question 3 of 5
The nurse is caring for a client with a history of a fractured tibia who is in a cast. The client complains of pain unrelieved by medication. The nurse should:
Correct Answer: C
Rationale: Unrelieved pain in a casted tibia may indicate compartment syndrome or infection, requiring immediate physician notification. Ice and elevation are insufficient, and massage is contraindicated.
Question 4 of 5
The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?
Correct Answer: C
Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.
Question 5 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.