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
Assessment of the client's skin reveals numerous café au lait spots over the trunk. These changes are associated with which diagnosis?
Correct Answer: B
Rationale: Café au lait spots are characteristic of neurofibromatosis a genetic disorder affecting nerve tissue. They are not associated with polycythemia vera thalassemia major or acoustic neuroma.
Question 3 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 4 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.
Question 5 of 5
Which statement is true regarding a patient with a Sengstaken-Blakemore tube?
Correct Answer: D
Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.