NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The well child assessment of a one-year-old reveals orange discoloration of the nasolabial folds. Based on this finding the nurse should:
Correct Answer: A
Rationale: Orange discoloration of the nasolabial folds may result from excessive dietary beta-carotene (e.g. from carrots or sweet potatoes). Obtaining a diet history is the most appropriate action to identify the cause. The other options are more relevant for jaundice or liver issues.
Question 2 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 3 of 5
A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun 2 hours prior to surgery. He has no known infection. The rationale for giving antibiotics prior to surgery is to:
Correct Answer: B
Rationale: Cathartic drugs promote evacuation of intestinal contents. The client undergoing intestinal surgery is at increased risk for infection from large numbers of anaerobic bacteria that inhabit the intestines. Administering antibiotics prophylactically can reduce the client's risk for infection. Antibiotics are indicated in the treatment of infections and have no effect on emotions. Antipyretics are useful in the treatment of elevated temperatures. Antibiotics would have an effect on infection, which causes temperature elevation, but would not directly affect such an elevation.
Question 4 of 5
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?
Correct Answer: A
Rationale: A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to 'do it herself.' A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. Watching television may be a favorite activity, but it does not foster autonomy.
Question 5 of 5
The nurse is caring for a client with a diagnosis of postpartum depression. Which symptom is most likely to be present?
Correct Answer: B
Rationale: Postpartum depression is characterized by persistent sadness low mood and lack of interest. Fever foul-smelling lochia and uterine tenderness suggest infection not depression.