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
Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
Correct Answer: A
Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.
Question 3 of 5
A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:
Correct Answer: A
Rationale: Disorientation is the first sign of sepsis in burn children. Low-grade fever is not indicative of sepsis. Diarrhea is not indicative of sepsis. Hypertension is not indicative of sepsis.
Question 4 of 5
A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:
Correct Answer: B
Rationale: A pneumothorax causes collapsed lung tissue, leading to decreased breath sounds, and rib fractures cause chest pain with movement.
Question 5 of 5
A male client is experiencing auditory hallucinations. His nurse enters the room and he tells her that his mother is talking to him, and he will take his medicine after she leaves. The nurse looks around the room and sees that she and the client are the only ones in the room. The nurse's most therapeutic response will be:
Correct Answer: A
Rationale: This response uses the principle of reality orientation by the nurse telling the client that he or she does not see anything, but it does recognize his feelings.