NCLEX RN Predictor Exam

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Question 1 of 5.

A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:

A. Insulin-dependent diabetes

B. Type II diabetes mellitus

C. Type I diabetes mellitus

D. Gestational diabetes mellitus

Explanation: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.

Question 2 of 5.

A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?

A. Resting tremors

B. Double vision

C. Flaccid paralysis

D. Pill-rolling tremors

Explanation: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting the optic nerves or brainstem.

Question 3 of 5.

A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:

A. Draw a man in six parts

B. Give his first and last name

C. Dress without supervision

D. Define a list of words

Explanation: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.

Question 4 of 5.

Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?

A. An affected gene is located on one of the 21 pairs of autosomes.

B. The disorder is caused by an over-replication of the X chromosome in males.

C. The affected gene is located on the Y chromosome of the father.

D. The affected gene is located on the X chromosome of the mother.

Explanation: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.

Question 5 of 5.

The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?

A. Increased pulse rate

B. Increased urinary output

C. Decreased diastolic blood pressure

D. Increased pupil size

Explanation: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid from the brain.

Related Questions

A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:

A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:

Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:

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?

A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?