NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 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 3 of 5
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
Correct Answer: D
Rationale: The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations, addressing the core issue of social withdrawal.
Question 4 of 5
A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, an increased white blood cell count, and malaise. The client is experiencing which type of rejection?
Correct Answer: A
Rationale: The sudden development of fever, graft tenderness, increased white blood count, and malaise are signs and symptoms of an acute rejection that commonly occurs at 3 months.
Question 5 of 5
The nurse is assigning staff for the day. Which client should be assigned to the nursing assistant?
Correct Answer: B
Rationale: The 10-year-old two days post-appendectomy is stable and requires routine care (e.g., vital signs, hygiene), suitable for a nursing assistant. The other clients have conditions (bronchiolitis, cellulitis, fracture) requiring more complex assessments or interventions by licensed staff.