NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which of the following can occur with the frequent use of calcium-based antacids?
Correct Answer: A
Rationale: Calcium-based antacids can cause constipation due to their effect on slowing gastrointestinal motility. Hyperperistalsis and diarrhea are more associated with magnesium-based antacids, and delayed gastric emptying is not a common effect.
Question 2 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which physician order should the nurse question?
Correct Answer: B
Rationale: The Kleihauer-Betke test detects fetal blood in maternal circulation typically used in trauma or Rh sensitization not placenta previa. Fetal monitoring , CBC , and IV fluids are appropriate for managing placenta previa which involves painless vaginal bleeding.
Question 3 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory finding is most concerning?
Correct Answer: A
Rationale: A platelet count of 80 000 indicates thrombocytopenia a serious complication in preeclampsia that increases bleeding risk and may signal HELLP syndrome. The other findings while concerning are less immediately alarming.
Question 4 of 5
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:
Correct Answer: A
Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.
Question 5 of 5
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer. Teaching related to skin care for the client would include which of the following?
Correct Answer: D
Rationale: The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.