NCLEX-RN
NCLEX RN Predictor Exam Questions
Question 1 of 5
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:
Correct Answer: D
Rationale: (A,
B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.
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
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:
Correct Answer: B
Rationale: This describes a suprapubic (transvesical) prostatectomy procedure. This is the correct description of a TURP procedure. This describes a perineal prostatectomy procedure. This describes a retropubic (extravesical) prostatectomy procedure.
Question 4 of 5
The nurse is caring for a client with a history of a fractured tibia who is in a cast. The client complains of pain unrelieved by medication. The nurse should:
Correct Answer: C
Rationale: Unrelieved pain in a casted tibia may indicate compartment syndrome or infection, requiring immediate physician notification. Ice and elevation are insufficient, and massage is contraindicated.
Question 5 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. The other options describe hyperthyroidism or mixed symptoms.