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
Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
Correct Answer: A
Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.
Question 3 of 5
The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?
Correct Answer: B
Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.
Question 4 of 5
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
Correct Answer: C
Rationale: HIV is not easily transmitted by casual contact.
Question 5 of 5
A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:
Correct Answer: B
Rationale: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.