NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
Correct Answer: C
Rationale: Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2 that is an end product of carbohydrate metabolism. Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.
Question 2 of 5
The nurse is teaching a client with a history of diabetes about eye care. The nurse should tell the client to:
Correct Answer: A
Rationale: Regular eye exams detect diabetic retinopathy early, preventing vision loss in diabetes.
Question 3 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.
Question 4 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound confirms the ectopic pregnancy’s location and serum hCG levels show abnormal doubling patterns. Both tests are critical for diagnosis.
Question 5 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Ectopic pregnancy causes sudden abdominal pain from tubal stretching or rupture. Painless bleeding is more typical of placenta previa fetal heart tones are absent and fever is not common.