NCLEX-RN
NCLEX RN Predictor Exam Questions
Question 1 of 5
The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?
Correct Answer: A
Rationale: Rectal itching especially at night is the hallmark symptom of enterobiasis (pinworms) due to egg-laying by female worms. Nausea oral ulcerations and scalp itching are not associated with this condition.
Question 2 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 3 of 5
A client is newly diagnosed with diabetes. Which nursing diagnosis is a priority at this time?
Correct Answer: C
Rationale: For a newly diagnosed diabetic, deficient knowledge about disease management (e.g., diet, medication, monitoring) is the priority to ensure safe self-care. Fluid volume deficit, anxiety, and activity intolerance may apply but are secondary initially.
Question 4 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 5 of 5
A 26-year-old client is in a treatment center for alprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for 'his nerves.' Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:
Correct Answer: B
Rationale: This client response does not address stress reduction techniques. Verbal response focuses only on the problem. Exercise or physical activity is a common strategy or coping technique used to reduce stress and anxiety. Verbalizing effects of substance abuse on the body may help with insight and break through denial, but it is not a strategy to reduce anxiety. Remaining substance-free does indicate motivation to change lifestyle of substance abuse or dependence, and it is not a stress reduction strategy in itself.