NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:
Correct Answer: B
Rationale: Stiff neck is consistent with a dystonic reaction, but the client has no symptoms of drooling, shuffling gait, or pill-rolling movements characteristic of parkinsonism. Stiff neck is consistent with a dystonic reaction, and inability to sit still with varying degrees of psychomotor agitation is characteristic of akathisia. The client has symptoms of dystonia but not of parkinsonism. The client has none of the characteristic symptoms of neuroleptic malignant syndrome: hyperpyrexia, generalized muscle rigidity, mutism, obtundation, agitation, sweating, increased blood pressure and pulse.
Question 2 of 5
The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?
Correct Answer: A
Rationale: Rectal itching especially at night is the hallmark symptom of enterobiasis (pinworms) due to egg-laying by female worms. Nausea oral ulcerations and scalp itching are not associated with this condition.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min is appropriate for COPD to maintain oxygenation without suppressing the hypoxic respiratory drive. Higher flow rates or masks risk hypercapnia.
Question 4 of 5
The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?
Correct Answer: D
Rationale: O negative blood is the universal donor, safe for transfusion without type and crossmatch in emergencies. AB positive (
A), AB negative (
B), and O positive (
C) risk incompatibility.
Question 5 of 5
A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment, cognitive impairment, extremely impaired judgment in social situations, and agitation when placed in a new situation or around unfamiliar people. The nurse should include the following strategy in the client's care:
Correct Answer: A
Rationale: Alzheimer's clients cope poorly with changes in routine because of memory deficits. Schedule changes cause confusion and frustration, whereas adhering to schedules is helpful and supports orientation. Insisting that the client go to all unit activities may antagonize her and increase her agitation because of cognitive impairments. It may be better to allow the client time for calming down or distraction rather than to insist that she attend every activity. When repeating a question, allow time first for a response; then use the same words the second time to avoid further confusion. The nurse should avoid giving several choices at once. Cognitively impaired clients will become more frustrated with making decisions.