NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of hyperthyroidism. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hyperthyroidism increases metabolism, leading to weight loss, heat intolerance, and tachycardia, a common clinical finding.
Question 2 of 5
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor, safe for transfusion without type and crossmatch in emergencies. AB positive (
A), AB negative (
B), and O positive (
C) risk incompatibility.
Question 3 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor closely?
Correct Answer: C
Rationale: Lithium requires monitoring of serum lithium levels to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity. Sodium (
A), BUN (
B), and A1c (
D) are secondary.
Question 4 of 5
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?
Correct Answer: D
Rationale: Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. Lochia granulosa is not a proper classification. Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.
Question 5 of 5
Continuous bladder irrigations are ordered for a patient following a TURP. The purpose of continuous bladder irrigations is to:
Correct Answer: A
Rationale: Continuous bladder irrigation after a transurethral resection of the prostate (TURP) prevents blood clot formation by flushing the bladder, reducing the risk of obstruction. It is not for medication delivery, pain prevention, or bladder tone maintenance.