NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, 'I wish I were dead because I am worthless to everyone; I guess I am just no good.' Which response by the nurse is most appropriate at this time?
Correct Answer: D
Rationale: This response does not acknowledge the client's feelings. This is a closed question and does not encourage communication. This response negates the client's feelings and does not require a response from the client. This acknowledges the client's implied thoughts and feelings and encourages a response.
Question 2 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor closely?
Correct Answer: C
Rationale: Lithium requires monitoring of serum lithium levels to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity. Sodium (
A), BUN (
B), and A1c (
D) are secondary.
Question 3 of 5
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: C
Rationale: Hyperacute T waves occur with hyperkalemia. Prolongation of the PR interval occurs with first-degree AV block. Horizontal ST-segment depression of >1 mm during exercise is definitely a positive criterion on the exercise ECG test. Pathological Q waves occur with MI.
Question 4 of 5
The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?
Correct Answer: D
Rationale: In dark-skinned individuals, skin cancer (e.g., acral lentiginous melanoma) is most common on palms or soles due to less pigmentation. Chest (
A), arms (
B), and face (
C) are less likely sites.
Question 5 of 5
The client is admitted with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin is the most specific and sensitive marker for myocardial infarction, as it is released during cardiac muscle damage and remains elevated for days. CK, myoglobin, and LDH are less specific.