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
Which one of the following lab tests should be done periodically if the client is being maintained on warfarin sodium (Coumadin)?
Correct Answer: A
Rationale: Warfarin’s anticoagulant effect is monitored by INR (derived from prothrombin time), but periodic platelet counts are also checked to assess for thrombocytopenia, a potential side effect. White cell, neutrophil, and basophil counts are less relevant.
Question 3 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 4 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 5 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.