NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?
Correct Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid from the brain.
Question 2 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 3 of 5
The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:
Correct Answer: D
Rationale: The wound is healing properly and is filled with red granulated tissue and fragile capillaries.
Question 4 of 5
A 52-year-old client's abdominal aortic aneurysm ruptured. She received rapid massive blood transfusions for bleeding. One potential complication of blood administration for which she is especially at risk is:
Correct Answer: C
Rationale: Massive transfusions can cause hypocalcemia due to citrate in stored blood binding with calcium, especially in rapid transfusions.
Question 5 of 5
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
Correct Answer: B
Rationale: This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety.