NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
Correct Answer: A
Rationale: Aluminum-based antacids like Basaljel commonly cause constipation by slowing intestinal motility. Urinary retention, diarrhea, and confusion are not typical side effects.
Question 2 of 5
A four-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to bleeding (from low platelets) and pallor (from anemia). These are critical signs to monitor. Other symptoms are less immediate.
Question 3 of 5
The nurse is caring for a client with a history of a fractured pelvis. The client is in pelvic traction. The nurse should:
Correct Answer: D
Rationale: Monitoring for infection at pin sites is critical in pelvic traction to prevent osteomyelitis. Turning is limited, weights must hang freely, and lotion is unnecessary.
Question 4 of 5
The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.
Question 5 of 5
A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mother has asked to breastfeed her following delivery. Immediately after birth, the neonate was most susceptible to heat loss. The most appropriate intervention to conserve heat loss and promote bonding is to:
Correct Answer: C
Rationale: A radiant warmer maintains an optimal thermal environment by use of a thermal skin sensor taped to the infant. The warmer limits parental attachment, so, although appropriate, it is not an intervention that promotes infant attachment. Warmed blankets prevent heat loss in the neonate by conduction. In addition, tactile stimuli promote crying and lung expansion. This intervention does not promote attachment, however. Skin-to-skin contact is an effective way to conserve heat after delivery and promotes parental attachment following birth in the healthy term infant. The first period of reactivity lasts approximately 30 minutes following birth. A strong sucking reflex and an active, awake newborn characterize this period. Surfaces of objects warmer than the infant promote overheating by conduction, and neonatal hyperthermia may result.