NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a history of sleep apnea about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: A CPAP machine maintains airway patency in sleep apnea, improving oxygenation and reducing apneic episodes.
Question 2 of 5
The client is admitted to the family-planning clinic with a desire to use a diaphragm as her method of contraception. Which instructions should be included in the teaching plan?
Correct Answer: B, E
Rationale: Diaphragms require contraceptive gel (
B) for efficacy and must remain in place 6 hours post-intercourse (E). Hot water (
A) may damage the diaphragm; douching (
C) is discouraged; resizing occurs every 2 years or after weight changes (
D).
Question 3 of 5
A client is newly diagnosed with diabetes. Which nursing diagnosis is a priority at this time?
Correct Answer: C
Rationale: For a newly diagnosed diabetic, deficient knowledge about disease management (e.g., diet, medication, monitoring) is the priority to ensure safe self-care. Fluid volume deficit, anxiety, and activity intolerance may apply but are secondary initially.
Question 4 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.
Question 5 of 5
The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?
Correct Answer: B
Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.