NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is planning for discharge teaching to a client after a total hip replacement. Which teaching points will be included?
Correct Answer: A, B, C, D
Rationale: Hip replacement teaching includes avoiding leg separation (
A), maintaining hydration/fiber (
B), monitoring for dislocation signs (
C), and limiting hip flexion (
D). Sleeping on affected side (E) is not advised to prevent dislocation.
Question 2 of 5
Signs and symptoms of an allergy attack include which of the following?
Correct Answer: D
Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.
Question 3 of 5
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
Correct Answer: C
Rationale: Coagulation studies are essential before a liver biopsy to assess bleeding risk, especially in hepatitis C patients with potential liver dysfunction. Lying on the left side (
A) is incorrect (right side is standard), enemas (
B) are not needed, and the procedure is invasive and painful (
D).
Question 4 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.
Question 5 of 5
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:
Correct Answer: D
Rationale: A nurse can give this information to a client. Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. Exercise makes insulin more efficient unless the diabetes is poorly controlled. Exercise makes insulin more efficient in moving more glucose into the cells.