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 assessing a client hospitalized with a duodenal ulcer. Which finding should be reported to the doctor immediately?
Correct Answer: A
Rationale: Low blood pressure (82/60) and tachycardia (pulse 120) indicate possible hypovolemic shock, likely from bleeding, which is a medical emergency in a client with a duodenal ulcer.
Question 3 of 5
When administering total parenteral nutrition, the nurse should assess the client for signs of rebound hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
Correct Answer: B
Rationale: Rebound hypoglycemia occurs when TPN is stopped abruptly, causing a rapid drop in blood glucose due to persistent insulin release. Tapering the infusion prevents this.
Question 4 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.
Question 5 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.