NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse monitors a client with SIADH for weight loss. A loss of 6 pounds since admission indicates a loss of liters of fluid.
Correct Answer: 2.7 liters
Rationale: In SIADH, 1 kg (2.2 lbs) of weight loss approximates 1 liter of fluid loss. 6 lbs ÷ 2.2 = 2.73 kg ≈ 2.7 liters.
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
The charge nurse of a medical surgical unit is assigning tasks for the day. Which client care assignments are most appropriate for the unlicensed assistive personnel?
Correct Answer: A, C, E
Rationale: UAPs can feed (
A), ambulate (
C), and bathe (E) clients, as these are within their scope. Vital signs on unstable clients (
B) and checking stools for blood (
D) require nursing assessment.
Question 4 of 5
A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:
Correct Answer: B
Rationale: A pneumothorax causes collapsed lung tissue, leading to decreased breath sounds, and rib fractures cause chest pain with movement.
Question 5 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.