NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?
Correct Answer: D
Rationale: Hypercapnia and hypoventilation cause retention of CO2, which increases ICP. Decreasing PaCO2 through hyperventilation reduces vasodilation, thereby decreasing ICP. Increased core body temperature, decreased serum osmolality, and hypo-osmolar fluids would increase ICP.
Question 2 of 5
Continuous bladder irrigations are ordered for a patient following a TURP. The purpose of continuous bladder irrigations is to:
Correct Answer: A
Rationale: Continuous bladder irrigation after a transurethral resection of the prostate (TURP) prevents blood clot formation by flushing the bladder, reducing the risk of obstruction. It is not for medication delivery, pain prevention, or bladder tone maintenance.
Question 3 of 5
The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?
Correct Answer: B
Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.
Question 4 of 5
The mother of a two-year-old with burns over 40% of the body asks the nurse how long it will take for the burns to heal. The nurse’s response is based on the knowledge that second-degree burns require:
Correct Answer: C
Rationale: Second-degree burns, affecting the epidermis and dermis, typically heal in 14–21 days with proper care. Healing time depends on depth and infection control, but 14–21 days is standard.
Question 5 of 5
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
Correct Answer: D
Rationale: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.