NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A healthcare professional is considering which patient to admit to the same room as a patient who had a liver transplant 3 weeks ago and is now hospitalized with acute rejection. Which patient would be the best choice?
Correct Answer: D
Rationale: The patient with chronic pancreatitis is the best choice to admit to the same room as a patient who had a liver transplant and is experiencing acute rejection. This is because the patient with chronic pancreatitis does not pose an infection risk to the immunosuppressed patient who had a liver transplant. On the other hand, patients receiving chemotherapy for cancer or those with wound infections are at risk for infections, which could endanger the immunosuppressed patient with acute rejection.
Question 2 of 5
During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. Which action would the nurse take?
Correct Answer: D
Rationale: When encountering an unfamiliar sound during auscultation, it is crucial for the nurse to seek confirmation from another healthcare professional. Asking the patient about their feelings may not provide insight into the unfamiliar sound. Simply documenting the findings without verification may lead to errors in interpretation. Waiting and auscultating again after 10 minutes might delay necessary intervention. Consulting another nurse for a second opinion ensures accurate identification of the unfamiliar sound and appropriate follow-up actions.
Question 3 of 5
When printing out an EKG, a nurse notices that the QRS complexes are extremely small. What should be the next step?
Correct Answer: C
Rationale: Increasing the sensitivity control to 20 mm deflection will double the sensitivity, allowing for better observation of the small QRS complexes. This step is crucial in obtaining a clearer EKG reading.
Choice A is incorrect because small QRS complexes do not necessarily indicate impending cardiac arrest; it's more likely a technical issue.
Choice B is not the first step to take when small QRS complexes are observed; it's important to adjust the settings first.
Choice D is incorrect because decreasing the run speed to 50 is not the appropriate action for this situation; adjusting the sensitivity control is more relevant to improve the visualization of the complexes.
Question 4 of 5
When teaching a patient to use the three-point gait technique of crutch use:
Correct Answer: A
Rationale: The correct technique for a three-point gait involves the injured leg moving simultaneously with both crutches, followed by the uninjured leg. This gait pattern is utilized when the patient is unable to bear full weight on one of their legs.
Choice A accurately describes the appropriate sequence of movements for the three-point gait technique.
Choices B and C do not accurately reflect the correct pattern of movement during the three-point gait technique, making them incorrect.
Choice D is incorrect as there is a correct option among the choices provided.
Question 5 of 5
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
Correct Answer: C
Rationale: When examining a 6-year-old child, it is important to consider their sense of modesty. The child should undress themselves, leaving underpants on and using a gown or drape to maintain privacy. Additionally, a school-age child like a 6-year-old is curious about how equipment works, so it is beneficial to explain the purpose and function of the tools being used. The examination sequence should typically progress from the child's head to the toes to ensure a thorough assessment.
Therefore, choices A, B, and D are incorrect as they do not align with the appropriate approach to examining a 6-year-old child.