NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a history of diabetes about eye care. The nurse should tell the client to:
Correct Answer: A
Rationale: Regular eye exams detect diabetic retinopathy early, preventing vision loss in diabetes.
Question 2 of 5
A 26-year-old client is in a treatment center for alprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for 'his nerves.' Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:
Correct Answer: B
Rationale: This client response does not address stress reduction techniques. Verbal response focuses only on the problem. Exercise or physical activity is a common strategy or coping technique used to reduce stress and anxiety. Verbalizing effects of substance abuse on the body may help with insight and break through denial, but it is not a strategy to reduce anxiety. Remaining substance-free does indicate motivation to change lifestyle of substance abuse or dependence, and it is not a stress reduction strategy in itself.
Question 3 of 5
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
Correct Answer: D
Rationale: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.
Question 4 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 5 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.