NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
To collect timely, specific information, the nurse is most likely to ask which of the following questions?
Correct Answer: A
Rationale: The correct answer is, 'Would you describe what you are feeling?' This open-ended question prompts the patient to provide subjective data, offering specific information about their current health status and human responses. This information can help identify actual or potential health issues.
Choices B and C are more likely to yield general, nonspecific information.
Choice D may lead to a brief response or nonverbal indication of pain location. A more effective approach to gather specific information about pain would be to ask, 'Can you describe any pain you are experiencing?'
Question 2 of 5
Before allowing the client's infant granddaughter to visit before the client's scheduled heart transplant, the nurse decides it would be beneficial to collaborate with which of the following? Select all that apply.
Correct Answer: B
Rationale: Collaborating with the client and family is crucial as it fosters a sense of autonomy and active involvement in the healthcare process for the client. Involving other nursing staff ensures the successful implementation of the planned intervention and provides support for the client's needs. Collaboration with the security department or hospital administration is not necessary in this situation, as the focus should be on the client's well-being and family involvement during a sensitive time.
Question 3 of 5
A patient has been told to monitor her LH levels. Which of the following potential conditions might the patient be suffering from?
Correct Answer: D
Rationale: Luteinizing hormone (LH) is released by the pituitary gland to stimulate ovulation. One of the common reasons for monitoring LH levels is infertility. In women with infertility, LH levels are monitored to time intercourse accurately to maximize the chances of conception. Menorrhagia (choice
A) is characterized by heavy menstrual bleeding and is not directly related to LH levels. Grave's Disease (choice
B) is an autoimmune disorder affecting the thyroid gland and is not typically monitored by LH levels. Menopause (choice
C) is a natural process marking the end of a woman's reproductive years and is not a condition where LH monitoring for infertility is common.
Question 4 of 5
The Sinoatrial Node (SA) is located within which of the following heart structures?
Correct Answer: C
Rationale: The Sinoatrial (S
A) Node, often called the heart's natural pacemaker, is situated within the upper wall of the Right Atrium. It initiates the electrical impulses that regulate the heartbeat.
Choices A, B, and D are incorrect because the SA node is not located in the Mitral Valve, Right Ventricle, or Left Atrium. It is specifically positioned in the Right Atrium to coordinate the heart's rhythm and timing.
Question 5 of 5
Which of the following is recommended by Joint Commission guidelines regarding the use of restraints?
Correct Answer: D
Rationale: When considering the use of restraints, Joint Commission guidelines emphasize the importance of attempting alternative measures before resorting to restraint application. This ensures that a comprehensive assessment is conducted and less restrictive interventions are explored. Using restraints solely based on their perceived level of restrictiveness, as stated in choice A, is not in line with the recommended approach. Restraints should not be used to manage wandering behavior, as indicated in choice C. Additionally, the statement in choice B regarding the duration of restraint use is inaccurate, as restraints on non-psychiatric patients should not exceed 24 hours according to The Joint Commission.