NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a history of hypertension about dietary modifications. The nurse should tell the client to avoid:
Correct Answer: C
Rationale: Processed foods are high in sodium, which can exacerbate hypertension by increasing blood volume, so they should be avoided.
Question 2 of 5
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?
Correct Answer: B
Rationale: Klebsiella pneumonia is caused by gram-negative bacteria. Pneumococcal pneumonia is caused by gram-positive bacteria. Legionella pneumophila pneumonia is a nonbacterial pneumonia. E. coli pneumonia is caused by gram-negative bacteria.
Question 3 of 5
When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?
Correct Answer: C
Rationale: Avoiding alcohol entirely, as indicated by attending AA meetings, shows understanding of preventing pancreatitis, which is often triggered by alcohol consumption.
Question 4 of 5
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:
Correct Answer: C
Rationale: Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B,
D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.
Question 5 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones detectable by Doppler around 10-12 weeks and consistently by 20 weeks are the most definitive sign of pregnancy. HCG uterine enlargement and breast changes are presumptive or probable signs.