NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The physician has made a diagnosis of 'shaken child' syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of 'shaken child' syndrome?
Correct Answer: C
Rationale: Retinal hemorrhages are a hallmark of shaken baby syndrome due to rapid acceleration-deceleration forces damaging retinal vessels. Fractures and bruising are less specific.
Question 2 of 5
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
Correct Answer: D
Rationale: Alcohol and tobacco use are the most significant risk factors for laryngeal cancer due to their carcinogenic effects on the laryngeal mucosa. Family history, fumes, and vocal strain are less impactful.
Question 3 of 5
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:
Correct Answer: D
Rationale: Radiation site markings must be preserved for accurate treatment. Soap, lotion, or other substances can remove markings, so they should be avoided. Covering or powdering is unnecessary.
Question 4 of 5
The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?
Correct Answer: C
Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.
Question 5 of 5
Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:
Correct Answer: B
Rationale: Stiff neck is consistent with a dystonic reaction, but the client has no symptoms of drooling, shuffling gait, or pill-rolling movements characteristic of parkinsonism. Stiff neck is consistent with a dystonic reaction, and inability to sit still with varying degrees of psychomotor agitation is characteristic of akathisia. The client has symptoms of dystonia but not of parkinsonism. The client has none of the characteristic symptoms of neuroleptic malignant syndrome: hyperpyrexia, generalized muscle rigidity, mutism, obtundation, agitation, sweating, increased blood pressure and pulse.