NCLEX-RN
NCLEX RN Predictor Exam Questions
Question 1 of 5
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer. Teaching related to skin care for the client would include which of the following?
Correct Answer: D
Rationale: The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.
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 nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.
Question 4 of 5
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:
Correct Answer: B
Rationale: This answer is incorrect. Current magazines would be appropriate. This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. This answer is incorrect. Biographies depict a past, not a present, orientation.
Question 5 of 5
An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?
Correct Answer: B
Rationale: (A, C,
D) These answers are incorrect. Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL × 6.8 = 680 mL/day.